MR. Jack Logan Keith, PMHNP is a psychiatric/mental health nurse practitioner in Olympia, WA. MR. Jack Logan Keith, PMHNP NPI is 1982968210. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3857 MARTIN WAY E
OLYMPIA, WA
ZIP 98506
Phone: (253) 581-7020
The NPI 1982968210 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/2/2012 and was last updated on 12/7/2022.