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Individual

GRANT EDWARD KEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1418
Mailing address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1418

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD60448459
WA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
55563020
WI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD60448459
WA

Other

Enumeration date
06/20/2007
Last updated
06/18/2014
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