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DR. NIKOM WANNARACHUE M.D.
NPI 1205936028
Pediatrics in Kennewick, WA

Active since September 22, 2006
721 S AUBURN ST, KENNEWICK, WA 99336(509) 586-1157(509) 582-4189 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nikom Wannarachue M.d. NPPES

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

DR. NIKOM WANNARACHUE M.D. (NPI 1205936028) is an individual pediatrics provider in Kennewick, Washington, licensed in Washington (MD00012028) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1205936028
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. NIKOM WANNARACHUECredential: M.D.
Location Address721 S AUBURN STKennewick, WA 99336-5665
Mailing Address721 S Auburn StKennewick, WA 99336-5665 · (509) 586-1157 · Fax (509) 582-4189
Phone(509) 586-1157
Fax(509) 582-4189
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1205936028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00012028
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
721 S AUBURN ST, Kennewick, WA 99336
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Other Identifiers 3

Medicaid1915008WA
Medicare UPINA07425WA
Medicare PINAB29456WA

Other Providers at the Same Location NPPES 12

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

ARTIESA RAE WOODS
Social Worker (Clinical)
721 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 574-2204
FADI NASSANEH
Pharmacist
721 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 547-2204
DR. CRYSTAL DAWNELLE DICKERSON M.D.
Family Medicine
721 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 547-2204
DR. DUSTIN JAMES CARLSON DNP, ARNP, FNP-BC
Nurse Practitioner (Family)
721 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 547-2204
DR. EARL ROBERT LAMPTON APRN
Nurse Practitioner (Family)
721 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 547-2204
NIKOM WANNARACHUE, M.D., INC. P.S.
Pediatrics
721 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 586-1157
HALA MADI
Obstetrics & Gynecology
721 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 547-2204
DR. MICHAEL CABASUG MD
Family Medicine
721 S AUBURN ST
KENNEWICK, WA 99336
Benton County (509) 737-1878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikom Wannarachue's NPI number?

The NPI number for Nikom Wannarachue is 1205936028. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Nikom Wannarachue located?

Nikom Wannarachue practices at 721 S Auburn St, Kennewick, WA 99336. The listed phone number is (509) 586-1157.

What is Nikom Wannarachue's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Nikom Wannarachue was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.