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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KITIMA BOONVISUDHI

Active Sole Proprietor

DR. KITIMA BOONVISUDHI is a General Surgery healthcare provider located in ALBANY, Oregon. NPI 1134198005 is currently active in the NPPES registry. Verify at CMS.

General Surgery · ALBANY, OR

Registration Details

NPI Number
1134198005
Provider Type
Individual
Gender
Female
NPI Issued
Mar 14, 2006 (20.424553062787 yrs)
Last Updated
Jan 27, 2025
Licenses
204411 (NY)
59966 (WI)
MD167013 (OR)
Sole Proprietor
Yes

Practice Information

Address
400 HICKORY ST NW STE 101
ALBANY, OR, 973211700
Browse OR providers · Browse ZIP 97321
Phone
5418123360
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery
Additional Specialty
General Surgery

Other General Surgery Providers in ALBANY, OR

Name Credential NPI
DR. SATYAJEET Y GAEKWAD M.D. 1134184567
DR. GREGG M. MILLER M.D. 1427085513
DR. MARY K. HARADA M.D. 1124055215
DR. MARIE A. RAY M.D. 1982631628
DR. FREDERIC NATHAN BAHNSON M.D. 1518296847
PETER ANDREW SWEENY DO 1861811770
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.