Keith K Ly, Do, P.S.

LBN: Keith K Ly, Do, P.S.
Keith K Ly, Do, P.S. is an health care organization with primary practice located at 6007 244Th St Sw # B , Mountlake Terrace WA 98043-5400. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Keith K Ly, Do, P.S. can be contacted via phone (425) 673-8000, or through Ly, Keith K via phone (425) 673-8000.

Contact Information

Primary practice address
6007 244Th St Sw # B Mountlake Terrace WA 98043-5400
Phone: (425) 673-8000
Fax: (425) 673-9000
Website:
Map and Directions
Authorized official contact:
Name: Ly, Keith K Doctor of Osteopathy (DO)
Phone: (425) 673-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001670 Washington

Profile Details

NPI number 1659579688
LBN Legal business name Keith K Ly, Do, P.S.
DBA Doing business as
Authorized official Ly, Keith K Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Nov 14th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659579688 NPPES
Washington MEDICAID 1124254

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