Individual
STEPHEN R KEEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
505 CEDAR AVE STE C3, MARYSVILLE, WA 98270-4561
(360) 659-8411
(360) 658-1033
Mailing address
505 CEDAR AVE STE C3, MARYSVILLE, WA 98270-4561
(360) 659-8411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2568103
—
WA
01
—
33694
LABOR AND INDUSTRIES
WA
01
—
R72020
REGENCE
WA
Enumeration date
12/04/2006
Last updated
01/23/2008
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