MEDICARE: PAMILA R KEECH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD00026533	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	390007234	OTHER	WA	RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265485411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMILA R KEECH MD

Provider Business Mailing Address
First Line	:	13030 121ST WAY NE
Second Line	:	SUITE 102
City	:	KIRKLAND
State	:	WA
Zip	:	98034-3008
Country	:	US
Telephone Number	:	425-899-5111
Fax Number	:	425-899-5114

Provider Business Practice Location Address
First Line	:	13030 121ST WAY NE
Second Line	:	SUITE 102
City	:	KIRKLAND
State	:	WA
Zip	:	98034-3008
Country	:	US
Telephone Number	:	425-899-5111
Fax Number	:	425-899-5114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	10/31/2013

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Directions to “ PAMILA R KEECH MD” Practice Location

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