Provider Demographics
NPI:1639308331
Name:HOWARD, KEIKO (DO)
Entity Type:Individual
Prefix:
First Name:KEIKO
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11311 BRIDGEPORT WAY SW
Mailing Address - Street 2:SUITE 301 MS-42-03
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3071
Mailing Address - Country:US
Mailing Address - Phone:253-274-7505
Mailing Address - Fax:253-985-2918
Practice Address - Street 1:11311 BRIDGEPORT WAY SW
Practice Address - Street 2:SUITE 301 MS-42-03
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-3071
Practice Address - Country:US
Practice Address - Phone:253-274-7505
Practice Address - Fax:253-985-2918
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOP603728422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology