Keystone Medical Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD44106 Issued in WA

Legal business name

KEYSTONE MEDICAL SERVICES

Doing business as

Keystone Family Clinic

Practice address

1014 S 320TH St Ste C
Federal Way, WA 98003-5344

Phone

(360) 689-6268

NPI assigned

Oct 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jai Jun Byeon, MD

Title

Owner

Phone

(360) 689-6268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Keystone Family Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1124456975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16243 SE 326TH ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980925907",
            "telephone_number": "360-689-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S 320TH ST STE C",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035344",
            "telephone_number": "360-689-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "BYEON",
        "authorized_official_first_name": "JAI JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-689-6268",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD44106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8453284",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Lynn Kettel, DPT
• Key Compounding Pharmacy, LLC
• Key Health, Inc
• Annie Li Keyes, CCC-SLP
• Christine Leah Keys, MA
• Balraj Khakh, DC
• Kamran Ashraf Khan, M.D.
• Manpreet Kaur Khehra, PHARMD
• Patricia Kho, DDS
• Simranpreet Kaur Khosa, FNP-BC

• Primary Care Clinic/Center in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.