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Contact Information

KITTI KAIBORIBOON, MD
550 17TH AVE
SUITE 540
SEATTLE, WA98122-5788
 Phone: 206-386-3880
 Fax: 206-386-3882
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KITTI KAIBORIBOON · (Male)

NPI Number 1912062035
Status Active
Credentials MD
Entity Individual
Enumeration date 12/27/2006
Last updated 06/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A83409
  • MO License # 2006038718
  • OH License # 35.093501
  • WA License # 60508358
  • OH Medicaid 2941473
  • OH Other P00794607 MEDICARE RAILROAD
Hospital affiliation(s)
  • PROVIDENCE REGIONAL MEDICAL CENTER EVERETT - (Acute Care)
    1321 COLBY AVENUE
    EVERETT, WA 98201
  • SWEDISH EDMONDS HOSPITAL - (Acute Care)
    21601 76TH AVENUE WEST
    EDMONDS, WA 98026
  • SWEDISH ISSAQUAH - (Acute Care)
    751 NE BLAKELY DR
    ISSAQUAH, WA 98029
  • SWEDISH MEDICAL CENTER - (Acute Care)
    747 BROADWAY
    SEATTLE, WA 98122
  • SWEDISH MEDICAL CENTER/CHERRY HILL - (Acute Care)
    500 17TH AVENUE
    SEATTLE, WA 98122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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