| Dominic Kenyanya Keya, NP | |
|
510 E Main, Puyallup, WA 98372-5698 | |
| (253) 325-1121 | |
| (425) 536-4707 |
| Full Name | Dominic Kenyanya Keya |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 510 E Main, Puyallup, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851858641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN60797352 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP61451476 (Washington) | Primary |
| Entity Name | Alliance For South Sound Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891298980 PECOS PAC ID: 5395094197 Enrollment ID: O20200327000694 |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20200507000939 |
| Entity Name | F&m Healthcare, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861145120 PECOS PAC ID: 8628462983 Enrollment ID: O20220302001375 |
| Entity Name | Aryyn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740042662 PECOS PAC ID: 0547605305 Enrollment ID: O20240301003878 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Kenyanya Keya, NP 7613 185th Street Ct E, Puyallup, WA 98375-9051 Ph: (253) 325-1121 | Dominic Kenyanya Keya, NP 510 E Main, Puyallup, WA 98372-5698 Ph: (253) 325-1121 |
Melinda Moore, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674 | |
Oscar Herrera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610 | |
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608 | |
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515 | |
Jennifer D Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 7th Ave Sw, Puyallup, WA 98371 Phone: 253-579-0067 | |
Christopher Charles Cramer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 5th St Se Ste 4200, Puyallup, WA 98372 Phone: 253-697-3450 | |
Mackenzie Annette Schumann, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-447-1641 |