Dr. Kenny P Koo, M.D.
Dr. Kenny P Koo is a Surgery Physician provider (Surgery) practicing in Everett, WA, registered in the NPPES registry with NPI 1114947629 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114947629 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Kenny P Koo |
| Credential | M.D. |
| Sex | Male |
| Practice address | 1330 ROCKEFELLER AVE, #120, Everett, WA, 98201 |
| Phone | 4253395442 |
| Enumeration date | 2006-07-20 |
| Last updated in NPPES | 2012-12-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | MD00033150 | WA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002823 | Medicaid | WA | — |
Copy-ready billing details
Provider: Kenny Koo, M.D. NPI: 1114947629 Taxonomy: 208600000X (Surgery Physician) Address: 1330 ROCKEFELLER AVE, #120, Everett, WA, 98201
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366435943 | John Matista | Individual | Medical Physician Assistant | Everett, WA |
| 1649257692 | Robert Defrang | Individual | Vascular Surgery Physician | Everett, WA |
| 1255318317 | James Cook | Individual | Vascular Surgery Physician | Everett, WA |
| 1487632667 | Tanner Vick | Individual | Surgical Physician Assistant | Everett, WA |
| 1275508244 | Robert Andre | Individual | Gynecology Physician | Everett, WA |
| 1134189699 | Joseph Austin | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Everett, WA |
| 1487619060 | Purnima Patel | Individual | Internal Medicine Physician | Everett, WA |
| 1548214042 | Becky Zufall | Individual | Medical Physician Assistant | Everett, WA |
Verify this record
Cross-check NPI 1114947629 against the authoritative CMS record: view Dr. Kenny P Koo on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-12-11.