Individual
MR. KEITH L HIMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
OF VETERANS AFFAIRS, PSHCS, AMERICAN LAKE DIVISION, ER, TACOMA, WA 98493-5000
(253) 582-8440
(253) 589-4150
Mailing address
19430 105TH AVENUE CT E, GRAHAM, WA 98338-6486
(253) 227-1882
(253) 589-4150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00048942
WA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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