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Active NPI 1114947629 Individual Practitioner Male Practitioner

Dr. Kenny P Koo , MD

Surgery • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kenny Koo, MD is a registered healthcare professional specializing in Surgery in Everett, WA. Practice services are available at 1330 ROCKEFELLER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1330 Rockefeller Ave
#120

Everett, WA 982011684

Telephone 4253395442
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
28 Specialists

Practicing in Everett, WA (818 Statewide)

Telehealth Adoption Rate
17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00033150

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1002823 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1053416867

Doctor of Medicine (M.D.)

Dr. Perry Soriano , MD

Surgery - Surgical Oncology

NPI 1093892689

Doctor of Medicine (M.D.)

NPI 1205222551
NPI 1215063102

Doctor of Medicine (M.D.)

NPI 1306943782

Doctor of Medicine (M.D.)

NPI 1326352592

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2012

Registered at 1330 ROCKEFELLER AVE, #120, EVERETT, WA 982011684 (Tel: 4253395442)

📍
Updated Business Mailing Address December 11, 2012

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4253395442)

👤
Provider Name / Credentials Updated December 11, 2012

Recorded as KENNY KOO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2012

Surgery (License #MD00033150 in WA)

🟢
Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114947629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: December 11, 2012
Sole Proprietor: No

Mailing Address

Po Box 5127

Everett, WA 982065127

Phone: 4253395442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.