Male or Other

Dr. Keith W. Harper M.D.

Full Name

Dr. Keith W Harper M.D.

NPI Number

1194836528

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/31/2006

Licenses

State

North Carolina

License Number

200300801

Contact
Information

Purpose

Mailing
Location

Address

19020 33RD AVE W STE 210
2409 N 45TH ST

City

Lynnwood
Seattle

State

WA
WA

Postal Code

98036-4748
98103-6907

Country

US
US

Telephone Number

(425) 563-1500
(206) 633-8100

Identifiers

Identifier

560941927
89134UE
560941927
560941927
P00124917
134UE
2276864
246190

Identifier State

NC
NC
NC
NC
NC
NC
WA
NC

Identifier Issuer

UNITED HEALTHCARE
Unknown
CIGNA
MEDCOST
RAILROAD MEDICARE
BCBS
Unknown
MAMSI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/22/2024

Provider Address