| Key Medical Center Pllc | |
|
15610 89th Street Court Kp N Lakebay WA 98349-9551 | |
| (253) 884-9221 | |
| (253) 884-5523 |
| Full Name | Key Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 15610 89th Street Court Kp N, Lakebay, Washington |
| Authorized Official Name and Position | William Fredrick Roes (OWNER/PARTNER) |
| Authorized Official Contact | 2538849221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Medical Center Pllc Po Box 129 Vaughn WA 98394-0129 Ph: (253) 884-9221 | Key Medical Center Pllc 15610 89th Street Court Kp N Lakebay WA 98349-9551 Ph: (253) 884-9221 |
| NPI Number | 1922183870 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922183870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
Community Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15610 89th St. Ct. Kpn, Lakebay, WA 98349 Phone: 253-597-4550 |