Individual
KEITH A MORTON
Active
Individual
KEITH A MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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