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

Prim Prey Ky, PA-C

Individual provider Physician Assistant · NPI 1487157020

Prim Prey Ky, PA-C is a Physician Assistant in Lacey, Washington. Qualified in 2017, 9 years ago. Practices with Virginia Mason Medical Center, a 867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2018
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

1350 Marvin Rd NE Ste D
Lacey, WA 98516-3877
Phone: (888) 227-3312
Fax: (360) 413-6509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1007 39th Ave Se, Puyallup, WA 98374-2192 — (253) 435-3100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60763223 (WA)

Record details

NPI number1487157020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 9, 2018
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Virginia Mason Medical Center — 867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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