Individual
KATHLEEN M. KEYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-8920
(206) 598-7663
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209108
LABOR & INDUSTRY
WA
01
—
35583U
REGENCE BLUESHIELD
WA
05
—
8379612
—
WA
01
—
P69257
UPIN
WA
Enumeration date
05/04/2006
Last updated
10/11/2007
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