NPI 1912062035 · live from the CMS NPI Registry
Kitti Kaiboriboon, M.D.
Psychiatry & Neurology, Neurology in Seattle, WA. National Provider Identifier 1912062035, active.
NPI record
| NPI | 1912062035 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 550 17th Ave, Suite 540, Seattle, WA 98122 |
| Practice phone | 206-386-3880 |
| Mailing address | Po Box 25608, Salt Lake City, UT 84125 |
| Enumerated | December 27, 2006 |
| Last updated | June 15, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 35.093501 (OH) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 2006038718 (MO) |
| Psychiatry & Neurology, Neurology | 2084N0400X | A83409 (CA) |
| 2084N0600X | 60508358 (WA) | |
| 2084N0600X | A83409 (CA) | |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 60508358 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.