1. Home
  2. Directory
  3. Washington
  4. Dayton
  5. Family Medicine
  6. NPI Profile

KENNETH DYBALL PAC
NPI 1184712739
Family Medicine in Dayton, WA

Active since October 10, 2006
1012 S 3RD ST, DAYTON, WA 99328(509) 382-2531(509) 382-3209 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Dyball Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH DYBALL PAC (NPI 1184712739) is an individual family medicine provider in Dayton, Washington, licensed in Washington (PA10001137) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1184712739
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH DYBALLCredential: PAC
Location Address1012 S 3RD STDayton, WA 99328-1606
Mailing Address1012 S 3rd StDayton, WA 99328-1606 · (509) 382-2531 · Fax (509) 382-3209
Phone(509) 382-2531
Fax(509) 382-3209
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184712739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · PA10001137
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1012 S 3RD ST, Dayton, WA 99328
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS92351WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL LUCE M.D.
Family Medicine
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
KIM IRENE EMERY PA-C
Physician Assistant
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
SHERENA GWENEVERE CLEMENTS RN
Clinical Nurse Specialist (Emergency)
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-3218
JENNIFER LEA BURNETT NP
Nurse Practitioner
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
DR. YONGMOON ANDREW PARK MD
Specialist
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-3200
LAURENCE A EIDT M.D.
Family Medicine
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
MICHELLE JENKINS ARNP
Nurse Practitioner (Family)
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-3200
KAYLYN RUTHERFORD DNP
Registered Nurse (Administrator)
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Dyball's NPI number?

The NPI number for Kenneth Dyball is 1184712739. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Kenneth Dyball located?

Kenneth Dyball practices at 1012 S 3rd St, Dayton, WA 99328. The listed phone number is (509) 382-2531.

What is Kenneth Dyball's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Dyball was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.