Individual
GREGORY E KEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 BJUNE DRIVE SE, SUITE 101, BAINBRIDGE ISLAND, WA 98110-2503
(206) 842-3222
(206) 842-1877
Mailing address
123 BJUNE DR SE, SUITE 101, BAINBRIDGE ISLAND, WA 98110-2459
(206) 842-3222
(206) 842-1877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019400
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171166
LABOR AND INDUSTRIES
WA
05
—
1118314
—
WA
01
—
4813KE
REGENCE BLUE SHIELD
WA
Enumeration date
09/25/2006
Last updated
06/25/2010
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