Individual
VIRGINIA MARIE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6147795
WA
363AM0700X
Medical Physician Assistant
PA6147795
WA
Other
Enumeration date
07/12/2023
Last updated
09/28/2023
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