Individual
DR. JOREN BRENT KEYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 SW KLICKITAT WAY, SUITE 205, PUGET SOUND INSTITUTE OF PATHOLOGY, SEATTLE, WA 98134
(206) 622-7747
(253) 426-6115
Mailing address
PO BOX 34245, PUGET SOUND INSTITUTE OF PATHOLOGY, SEATTLE, WA 98124
(206) 622-7747
(253) 426-6115
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
60212951
WA
Other
Enumeration date
01/18/2006
Last updated
11/06/2014
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