Provider Demographics
NPI:1013190750
Name:KEAT, LYNN (MED, ARNP)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:KEAT
Suffix:
Gender:F
Credentials:MED, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 HUNTER BLVD S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-7032
Mailing Address - Country:US
Mailing Address - Phone:206-722-3646
Mailing Address - Fax:
Practice Address - Street 1:3328 HUNTER BLVD S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-7032
Practice Address - Country:US
Practice Address - Phone:206-722-3646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health