Individual
JOSHUA IKAIKA KEANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4505 S MERIDIAN STE A, PUYALLUP, WA 98373-5002
(253) 697-5770
Mailing address
4505 S MERIDIAN STE A, PUYALLUP, WA 98373-5002
(253) 697-5770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61120788
WA
Other
Enumeration date
09/08/2019
Last updated
12/19/2025
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