# KEY MEDICAL CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922183870
- **Authorized official:** DR. WILLIAM FREDRICK ROES MD (OWNER/PARTNER)
- **Authorized official phone:** (253) 884-9221

## Contact information

- **Practice address:** 15610 89TH STREET COURT KP N, LAKEBAY, WA 98349-9551
- **Practice address phone:** (253) 884-9221
- **Practice address fax:** (253) 884-5523
- **Mailing address:** PO BOX 129, VAUGHN, WA 98394-0129
- **Mailing address phone:** (253) 884-9221
- **Mailing address fax:** (253) 884-5523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | WA | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020
