Dr. Lisa Cathleen Kieneker, MD
Dr. Lisa Cathleen Kieneker, MD is a Family Practice in LA Conner, Washington. Qualified in 2017, 9 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Washington.
- Years since qualifying
- 9
- Licensed in
- FL, WA
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
528 Myrtle StLA Conner, WA 98257
Phone: (360) 466-0107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD61130841 (WA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence TRN27403 (FL) |
Record details
| NPI number | 1215422928 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 25, 2018 |
| Last updated in NPPES | July 8, 2026 |
| Certification date | July 8, 2026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Select Outpatient Services Inc — 790 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in LA Conner
-
Dr. Justin Iwasaki, MD
17400 Reservation Rd, LA Conner, WA 98257-8801 · (360) 466-3167
-
Charles Evert Larsson, MD
528 Myrtle Ave, LA Conner, WA 98257 · (360) 466-3136
-
Red Knight Clinic LLC
345 Moko Pl, LA Conner, WA 98257-9535 · (360) 466-8842