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Individual

BART PATRICK KEOGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD00040084
WA
2085N0700X
Neuroradiology Physician
S-7976
AK
2085R0202X
Diagnostic Radiology Physician
Primary
MD00040084
WA
2085R0202X
Diagnostic Radiology Physician
S-7976
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007471
AK
01
218040
LNI PROVIDER ID
WA
01
218043
LNI PROVIDER ID
WA
01
218046
LNI PROVIDER ID
WA
05
8288359
WA
Enumeration date
08/02/2006
Last updated
02/23/2026
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