Individual
KEITH GILMAN FONGEMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
36503 2ND AVE SW, FEDERAL WAY, WA 98023-7376
(206) 459-2019
Mailing address
36503 2ND AVE SW, FEDERAL WAY, WA 98023-7376
(206) 459-2019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00055424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00055424
PHARMACIST LICENSE
WA
Enumeration date
11/13/2006
Last updated
04/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us