| Keystone Family Clinic | |
|
1014 S 320th St Ste C Federal Way WA 98003-5344 | |
| (360) 689-6268 | |
| Not Available |
| Full Name | Keystone Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1014 S 320th St Ste C, Federal Way, Washington |
| Authorized Official Name and Position | Jai Jun Byeon (OWNER) |
| Authorized Official Contact | 3606896268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Family Clinic 16243 Se 326th St Auburn WA 98092-5907 Ph: (360) 689-6268 | Keystone Family Clinic 1014 S 320th St Ste C Federal Way WA 98003-5344 Ph: (360) 689-6268 |
| NPI Number | 1124456975 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124456975 | NPI | - | NPPES |
| 8453284 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD44106 (Washington) | Primary |
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