Provider Demographics
NPI:1396980355
Name:KEEGAN, JULIE MARIE (DIPL AC LAC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:MARIE
Last Name:KEEGAN
Suffix:
Gender:F
Credentials:DIPL AC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 CAMANO AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-9288
Mailing Address - Country:US
Mailing Address - Phone:360-221-3933
Mailing Address - Fax:
Practice Address - Street 1:772 CAMANO AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-9288
Practice Address - Country:US
Practice Address - Phone:360-221-3933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA114171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist