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General NPI Number Information
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NPI Number | 1093601015
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Entity Type | Organization
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Legal Business Name | KEYNA GRAHAM-HEINE, PLLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 9116 GRAVELLY LAKE DR SW STE 107
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City | LAKEWOOD
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State | WA
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Zip | 98499-3148
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Country | US
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Telephone | 253-364-6054
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Fax | 833-764-4009
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Provider Business Mailing Address
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Address Line | 9116 GRAVELLY LAKE DR SW STE 107
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City | LAKEWOOD
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State | WA
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Zip | 98499-3148
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Country | US
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Telephone | 253-364-6054
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Fax | 833-764-4009
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Authorized Official
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Title or Position | OWNER, MEMBER
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Name | KEYNA GRAHAM-HEINE
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Credential | ARNP, PMHNP-BC
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Telephone | 253-364-6054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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