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KEITH K LY, DO, P.S.
NPI 1659579688
Family Medicine in Mountlake Terrace, WA

Active since July 11, 2007
6007 244TH ST SW # B, MOUNTLAKE TERRACE, WA 98043(425) 673-8000(425) 673-9000 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith K Ly, Do, P.s. NPPES

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

KEITH K LY, DO, P.S. (NPI 1659579688) is a healthcare organization registered as a family medicine in Mountlake Terrace, Washington and active in the NPI registry since July 2007. The organization lists Keith K Ly, Owner, as its authorized official.

NPPES Registry Identity

NPI1659579688
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKEITH K LY, DO, P.S.
Location Address6007 244TH ST SW # BMountlake Terrace, WA 98043-5400
Mailing Address6007 244th St Sw # BMountlake Terrace, WA 98043-5400 · (425) 673-8000 · Fax (425) 673-9000
Phone(425) 673-8000
Fax(425) 673-9000
Organization SubpartNo
Authorized OfficialKeith K LyOwner · (425) 673-8000
Enumeration DateJuly 11, 2007
Last NPPES UpdateNovember 14, 2007
✔ NPI 1659579688 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 · OP00001670
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.
6007 244TH ST SW # B, Mountlake Terrace, WA 98043
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Other Identifiers 3

Medicaid1124254WA
Medicare PING8866814
Medicare UPINH39942WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Keith K Ly, Do, P.S.'s NPI number?

The NPI number for Keith K Ly, Do, P.S. is 1659579688. It was assigned to this organization in the NPPES registry on July 11, 2007.

Where is Keith K Ly, Do, P.S. located?

Keith K Ly, Do, P.S. is located at 6007 244th St SW # B, Mountlake Terrace, WA 98043. The listed phone number is (425) 673-8000.

What is Keith K Ly, Do, P.S.'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 Keith K Ly, Do, P.S. was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.