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
Specialties
(Taxonomies)Name
Code
2085B0100X
2085R0202X
2085U0001X
2085N0700X
2085N0904X
2085P0229X
2085R0205X
2085R0203X
2085R0204X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
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