Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OD00001235 | WA |
NPI | 1023003381 |
---|---|
Provider Name | Dr. Patricia Murphy Keech |
First Address | Shoreline, WA 98133-4430 |
Second Address | Shoreline, WA 98133-4430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 06/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2022192 | (05) | WA |
U21767 | (02) | WA |