Individual
JACOB STEPHEN KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0117
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0117
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101287930
VA
Other
Enumeration date
02/28/2024
Last updated
12/11/2025
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