DR. KENNY P KOO M.D.
NPI 1114947629
Surgery in Everett, WA

Active since July 20, 2006
1330 ROCKEFELLER AVE, #120, EVERETT, WA 98201(425) 339-5442 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenny P Koo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNY P KOO M.D. (NPI 1114947629) is an individual surgery provider in Everett, Washington, licensed in Washington (MD00033150) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1114947629
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KENNY P KOOCredential: M.D.
Location Address1330 ROCKEFELLER AVE, #120Everett, WA 98201-1684
Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 339-5442
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 11, 2012
NPI 1114947629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · MD00033150
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1330 ROCKEFELLER AVE, Everett, WA 98201

Other Identifiers 2

Medicare PIN8882356WA
Medicaid1002823WA

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1330 ROCKEFELLER AVE, SUITE 225
EVERETT, WA 98201
Internal Medicine (Pulmonary Disease)
1330 ROCKEFELLER AVE, SUITE 340
EVERETT, WA 98201
Internal Medicine (Cardiovascular Disease)
1330 ROCKEFELLER AVE, SUITE 540
EVERETT, WA 98201
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1330 ROCKEFELLER AVE, SUITE 330
EVERETT, WA 98201
Hospitalist
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Neurological Surgery
1330 ROCKEFELLER AVE, SUITE 220
EVERETT, WA 98201
Internal Medicine (Infectious Disease)
1330 ROCKEFELLER AVE, SUITE 210
EVERETT, WA 98201
Internal Medicine (Cardiovascular Disease)
1330 ROCKEFELLER AVE, 225
EVERETT, WA 98201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114947629, enumerated as an "individual" on July 20, 2006.

The provider is located at 1330 ROCKEFELLER AVE #120 EVERETT, WA 98201 and the phone number is (425) 339-5442.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.