Keith K Ly, Do, P.s.

NPI #1659579688 in Mountlake Terrace, Washington

Provider Information

NPI Number: 1659579688
Entity Type: Organization
Organization Name: Keith K Ly, Do, P.s.
Primary Specialty: Family Medicine
Enumeration Date: Jul 11, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 6007 244TH ST SW # B
City: Mountlake Terrace
State: Washington
ZIP Code: 98043-5400
Phone: (425) 673-8000

Authorized Official

Name: DR. KEITH K LY, DO
Title: OWNER
Phone: (425) 673-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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