Provider Demographics
NPI:1699319764
Name:KEHOE, JEFFREY (ND, LAC, BCB)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:KEHOE
Suffix:
Gender:M
Credentials:ND, LAC, BCB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 KIRKLAND WAY
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6219
Mailing Address - Country:US
Mailing Address - Phone:425-952-0002
Mailing Address - Fax:425-952-0006
Practice Address - Street 1:12600 SE 38TH ST STE 130
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-6105
Practice Address - Country:US
Practice Address - Phone:425-679-6056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC61024661171100000X, 171100000X, 171100000X
WANT61000810175F00000X
CAND1120175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Yes175F00000XOther Service ProvidersNaturopath