Organization
KEYSTONE MEDICAL SERVICES
Active
Other names
Keystone Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAI JUN BYEON MD (OWNER)
(360) 689-6268
Entity
Organization
Contact information
Practice address
1014 S 320TH ST STE C, FEDERAL WAY, WA 98003-5344
(360) 689-6268
Mailing address
16243 SE 326TH ST, AUBURN, WA 98092-5907
(360) 689-6268
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD44106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8453284
—
WA
Enumeration date
10/14/2013
Last updated
10/14/2013
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