NPI 1336207042

Keith Austin Havenstrite, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Tacoma, WA

Practice location

Address: 314 Martin Luther King Jr Way, Tacoma, WA 98405-4250
Phone: (253) 403-7257

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence MD60132453 (WA)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Washington →

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 041053 (GA)

Registry record

NPI: 1336207042
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2006
Record last updated: 22 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.