Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keng Moua, PA-C

Individual provider Physician Assistant · NPI 1639802135

Keng Moua, PA-C is a Physician Assistant in Olympia, Washington. Graduated from University of Wisconsin School of Medicine in 2023, 3 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
Trained at
University of Wisconsin School of Medicine
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

615 Lilly Rd NE Ste 100
Olympia, WA 98506-5117
Phone: (360) 491-4211
Fax: (360) 493-0407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Lilly Rd Ne, Olympia, WA 98506-5196 — (360) 923-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639802135
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 3, 2022
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing addressPo Box 368, Olympia, WA 98507-0368

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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