Individual
KEITH A MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9911 N NEVADA ST STE 200, SPOKANE, WA 99218-1298
(509) 626-9420
(509) 626-9421
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00040869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162492
L&I
—
01
—
110242336
TRAV MEDICARE
WA
05
—
1116680
—
WA
01
—
1568564664
NPI
WA
Enumeration date
09/01/2006
Last updated
05/25/2021
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