Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane A Keck, MPA, PA-C

Individual provider Physician Assistant · NPI 1134308067

Shane A Keck, MPA, PA-C is a Physician Assistant in Kirkland, Washington. Qualified in 2007, 19 years ago. Practices with Strother Dermatology and Laser Treatment Center PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Kansas and Washington.

Years since qualifying
19
Licensed in
KS, WA
In the registry since
2007
Specialties on file
2
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

3100 Carillon Pt
Kirkland, WA 98033-7306
Phone: (425) 576-1700
Fax: (425) 827-7725
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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 PA60021277 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 1187 (KS)

Record details

NPI number1134308067
Entity typeIndividual (Type 1)
GenderMale
Credentials MPA , PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2007
Last updated in NPPESSeptember 4, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Strother Dermatology And Laser Treatment Center Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kirkland