IndividualActive
Charles Keith
NPI 1689372518 · General Practice Physician · Tacoma, WA
Provider details
- NPI number
- 1689372518
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 36527 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-0117
Approximate (ZIP-level) locationGet directions
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.