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NPI Code Detail

MEDICARE: DR. KYAW THU BO MD

MEDICARE: DR. KYAW THU BO MD
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
1207Q00000XFamily Medicine Physician4301115294MI
2207Q00000XFamily Medicine PhysicianMD61142454WA

General Provider Information

NPI Number : 1588156202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYAW THU BO MD
Provider Business Mailing Address
First Line : 7600 EVERGREEN WAY
Second Line :
City : EVERETT
State : WA
Zip : 98203-6421
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 401 2ND ST
Second Line :
City : SNOHOMISH
State : WA
Zip : 98290-3008
Country : US
Telephone Number : 360-568-8620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2018
Last Update Date : 06/08/2026

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