Individual
DOMINIC KENYANYA KEYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
510 E MAIN, PUYALLUP, WA 98372-5698
(253) 325-1121
(800) 807-9176
Mailing address
7613 185TH STREET CT E, PUYALLUP, WA 98375-9051
(253) 325-1121
(800) 807-9176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60797352
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61451476
WA
Other
Enumeration date
02/27/2019
Last updated
01/20/2026
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