Healthcare Provider Details

I. General information

NPI: 1801643150
Provider Name (Legal Business Name): KILBO YUN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23700 EDMONDS WAY
EDMONDS WA
98026-8978
US

IV. Provider business mailing address

23700 EDMONDS WAY
EDMONDS WA
98026-8978
US

V. Phone/Fax

Practice location:
  • Phone: 425-871-1083
  • Fax: 425-871-0840
Mailing address:
  • Phone: 425-871-1083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR.CH.70078891
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: