Individual provider · Type 1 NPI

Keng Moua, PA-C

Physician Assistant · Olympia, WA

NPI number 1639802135 Active

Practice location

615 Lilly Rd NE Ste 100
Olympia, WA 98506-5117

Call (360) 491-4211 Map

Fax (360) 493-0407

Mailing address

PO Box 368
Olympia, WA 98507-0368

Other practice locations

  • 700 Lilly Rd NE, Olympia, WA 98506-5196 · (360) 923-7000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639802135

Keng Moua, PA-C's National Provider Identifier is 1639802135, issued on Jul 3, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Olympia, WA. The record was last updated on Jun 11, 2026.