MEDICARE: MR. KIRANAT AKKARABANDITSAKUL CCMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174V00000X	Clinical Ethicist	A2L2S9Z7	WA

General Provider Information

NPI Number	:	1194676635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KIRANAT AKKARABANDITSAKUL CCMA

Provider Business Mailing Address
First Line	:	3601 SW 331ST ST
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98023-2636
Country	:	US
Telephone Number	:	206-822-9037
Fax Number	:

Provider Business Practice Location Address
First Line	:	34503 9TH AVE S STE 100
Second Line	:
City	:	FEDERAL WAY
State	:	WA
Zip	:	98003-8726
Country	:	US
Telephone Number	:	253-835-8700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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