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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENG MOUA, PA-C

Active Sole Proprietor

KENG MOUA, PA-C is a Physician Assistant healthcare provider located in OLYMPIA, Washington. NPI 1639802135 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OLYMPIA, WA

Registration Details

NPI Number
1639802135
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2022 (4.1076204946854 yrs)
Last Updated
May 30, 2025
Sole Proprietor
Yes

Practice Information

Address
615 LILLY RD NE STE 100
OLYMPIA, WA, 985065117
Browse WA providers · Browse ZIP 98506
Phone
3604914211
Fax
3604930407
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OLYMPIA, WA

Name Credential NPI
JENNIFER COZART PA-C 1639173230
JENNIFER E WINTER PA-C 1740280056
SARRA VASHCHENKO PA-C 1831199157
MR. THOMAS J WEISSENBERGER PA-C 1407830383
SARA ELIZABETH PRATT PAC 1144208323
LAWRENCE ALLAN ROBINSON PA 1649248592
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.