Individual
KEVIN CORRELL KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1829 24TH AVE UNIT B, SEATTLE, WA 98122-3014
(919) 684-2356
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD61331159
WA
208D00000X
General Practice Physician
61331159
WA
208M00000X
Hospitalist Physician
81422
MN
Other
Enumeration date
04/25/2019
Last updated
12/15/2025
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