Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LEROY KEITH VAN DYKE, PA
Active Sole ProprietorMR. LEROY KEITH VAN DYKE, PA is a Physician Assistant healthcare provider located in MOSES LAKE, Washington. NPI 1306842307 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOSES LAKE, WA
Registration Details
- NPI Number
- 1306842307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2005 (20.997449972498 yrs)
- Last Updated
- Jan 18, 2024
- License
-
PA10003296 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3322 ROAD N NEMOSES LAKE, WA, 988379505Browse WA providers · Browse ZIP 98837
- Phone
- 5097939051
- Fax
- 5097668585
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MOSES LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| MR. JONATHAN P HENKE | PAC, MPH | 1326005646 |
| PAULA RENEE MORENO | P.A. | 1881642197 |
| ROBERT W MIKISKA | PA-C | 1659383842 |
| ANGELA S. HANSON-STEEN | PA-C | 1689818270 |
| RYAN D WILLIAMS | PA-C | 1770818361 |
| MR. ETHAN D WASHBURN | PA-C | 1003142936 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.