Individual provider · Type 1 NPI
Joshua Ikaika Keanu, PA-C
Medical Physician Assistant · Puyallup, WA
NPI number
1952950412
Active
Practice location
4505 S Meridian Ste A
Puyallup, WA 98373-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA61120788 (WA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1952950412
Joshua Ikaika Keanu, PA-C's National Provider Identifier is 1952950412, issued on Sep 8, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Puyallup, WA. The record was last updated on Dec 19, 2025.