MR. LEROY KEITH VAN DYKE (PA) – Physician Assistant, NPI 1306842307

MR. LEROY KEITH VAN DYKE (PA) is a healthcare provider. based in Moses lake, Washington. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA10003296 (WA). The NPI Number for MR. LEROY KEITH VAN DYKE (PA) is 1306842307

Main info

Male
Sole Proprietor
Name
MR. LEROY KEITH VAN DYKE (PA)
NPI
1306842307
Phone
(509) 793-9051
Address
3322 ROAD N NE
Enumeration Date
23 June 2005
Last Update Date
18 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. LEROY KEITH VAN DYKE (PA)

  • Road N Northeast, Moses Lake, Grant County, Washington, United States

    MOSES LAKE, WA 988379505

    Phone: (509) 793-9051

    Fax: (509) 766-8585

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98837)

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Reviews

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Frequently asked questions

Where can patients find MR. LEROY KEITH VAN DYKE (PA)'s NPI?
You can confirm MR. LEROY KEITH VAN DYKE (PA) with NPI 1306842307; it appears in the national provider directory.
Is MR. LEROY KEITH VAN DYKE (PA) active in the national directory?
MR. LEROY KEITH VAN DYKE (PA)'s public NPI profile is in an active state.
What field does MR. LEROY KEITH VAN DYKE (PA) work in?
You can think of MR. LEROY KEITH VAN DYKE (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. LEROY KEITH VAN DYKE (PA) practice in Washington?
You will see Moses Lake, Washington on file for MR. LEROY KEITH VAN DYKE (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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