Individual
KEITH ROBERT CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 5TH AVE S STE 200, KIRKLAND, WA 98033-6736
(425) 814-5100
(425) 814-5103
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(425) 814-5100
(425) 814-5103
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
10092219-1204
UT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OP61081291
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162532
—
WA
Enumeration date
05/27/2014
Last updated
05/16/2025
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