KEY BRIDGE MEDICAL CLINIC LLC
NPI 1679178099
Clinic/Center - Primary Care in Lakewood, WA

Active since December 02, 2020
11318 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499(253) 533-3838 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2021, Dec 10, 2020, Dec 2, 2020 (3 updates tracked since 2020).

About Key Bridge Medical Clinic Llc NPPES

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

KEY BRIDGE MEDICAL CLINIC LLC (NPI 1679178099) is a healthcare organization registered as a primary care in Lakewood, Washington and active in the NPI registry since December 2020. The organization lists Kerbie Salvador A Barrantes, Owner, as its authorized official.

NPPES Registry Identity

NPI1679178099
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKEY BRIDGE MEDICAL CLINIC LLC
Location Address11318 BRIDGEPORT WAY SW STE ALakewood, WA 98499-3054
Mailing AddressPo Box 5393Lacey, WA 98509-5393 · (253) 533-3838
Organization SubpartNo
Authorized OfficialKerbie Salvador A BarrantesOwner · (253) 533-3838
Enumeration DateDecember 2, 2020
Last NPPES UpdateJanuary 28, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
NPI 1679178099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedHome HealthTaxonomy 251E00000X
11318 BRIDGEPORT WAY SW STE A, Lakewood, WA 98499

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
11318 BRIDGEPORT WAY SW STE A
LAKEWOOD, WA 98499
Clinic/Center (Primary Care)
11318 BRIDGEPORT WAY SW STE A
LAKEWOOD, WA 98499
Nurse Practitioner (Women's Health)
11318 BRIDGEPORT WAY SW STE A
LAKEWOOD, WA 98499
Nurse Practitioner (Women's Health)
11318 BRIDGEPORT WAY SW STE A
LAKEWOOD, WA 98499

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 Key Bridge Medical Clinic LLC's NPI number?

The NPI number for Key Bridge Medical Clinic LLC is 1679178099. It was assigned to this organization in the NPPES registry on December 2, 2020.

Where is Key Bridge Medical Clinic LLC located?

Key Bridge Medical Clinic LLC is located at 11318 Bridgeport Way SW Ste A, Lakewood, WA 98499. The listed phone number is (253) 533-3838.

What is Key Bridge Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Key Bridge Medical Clinic LLC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.