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

Mr. Leroy Keith Van Dyke, PA

Individual provider Physician Assistant · NPI 1306842307

Mr. Leroy Keith Van Dyke, PA is a Physician Assistant in Moses Lake, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3322 Road N NE
Moses Lake, WA 98837-9505
Phone: (509) 793-9051
Fax: (509) 766-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10003296 (WA)

Record details

NPI number1306842307
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 23, 2005
Last updated in NPPESJanuary 18, 2024

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