IndividualActive
Kenny Koo, M.D.
NPI 1114947629 · Surgery Physician · Everett, WA
Kenny Koo, M.D. is a Surgery Physician provider in Everett, WA (NPI 1114947629).
Provider details
- NPI number
- 1114947629
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD00033150 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1330 Rockefeller Ave
#120
Everett, WA 98201-1684
Phone: (425) 339-5442
Street-level locationGet directions
Mailing address
Po Box 5127
Everett, WA 98206-5127
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2012-12-11
Frequently asked questions
- What is Kenny Koo's NPI number?
- Kenny Koo's National Provider Identifier (NPI) is 1114947629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenny Koo's specialty?
- Kenny Koo is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kenny Koo located?
- Kenny Koo's practice location on file with NPPES is 1330 Rockefeller Ave, Everett, WA 98201-1684.
- What is Kenny Koo's phone number?
- The practice phone number listed in the NPPES registry for Kenny Koo is (425) 339-5442.
- Is Kenny Koo's NPI active?
- Yes — Kenny Koo's NPI (1114947629) is active in the NPPES registry as of the last update on 2012-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.