Healthcare Provider Details

I. General information

NPI: 1225442205
Provider Name (Legal Business Name): KEIKO GILL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 H ST
BLAINE WA
98230-4021
US

IV. Provider business mailing address

245 H ST
BLAINE WA
98230-4021
US

V. Phone/Fax

Practice location:
  • Phone: 360-332-1086
  • Fax: 360-332-6071
Mailing address:
  • Phone: 360-332-1086
  • Fax: 360-332-6071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number22682
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR.CH.70009563
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number589
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: