Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Jerome Keith

Individual provider General Practice Physician · NPI 1689372518

Charles Jerome Keith is a General Practice Physician in Tacoma, Washington. Licensed in Nebraska. Registered with an NPI since 2023.

Licensed in
NE
In the registry since
2023

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-0117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 36527 (NE)

Record details

NPI number1689372518
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

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