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

Kial Lynne Wiley, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821485020

Kial Lynne Wiley, MD is a Family Practice in Renton, Washington. Graduated from University of Washington School of Medicine in 2015, 11 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
11
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14410 SE Petrovitsky Rd Ste 104
Renton, WA 98058-8900
Phone: (425) 690-3405
Fax: (425) 690-9405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 504 N 40th Ave, Yakima, WA 98908 — (509) 966-9480

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60870304 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821485020
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2015
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address14410 Se Petrovitsky Rd Ste 104, Renton, WA 98058-8900

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Valley Medical Group-Renton — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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