Key Medical Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KEY MEDICAL CENTER PLLC

Practice address

15610 89TH Street Court KP N
Lakebay, WA 98349-9551

Phone

(253) 884-9221

Fax

(253) 884-5523

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Fredrick Roes, MD

Title

Owner/Partner

Phone

(253) 884-9221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922183870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "VAUGHN",
            "state": "WA",
            "postal_code": "983940129",
            "telephone_number": "253-884-9221",
            "fax_number": "253-884-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15610 89TH STREET COURT KP N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499551",
            "telephone_number": "253-884-9221",
            "fax_number": "253-884-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "253-884-9221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lakebay, WA
• Providers in Lakebay, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.