Khamphoucanh Southisombath, M.D.

NPI #1114316734 in Federal Way, Washington

Provider Information

NPI Number: 1114316734
Entity Type: Individual
Name: Khamphoucanh Southisombath, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jan 20, 2015
Last Updated: Jul 17, 2025

Practice Location

Address: 32018 23RD AVE S
City: Federal Way
State: Washington
ZIP Code: 98003-6022
Phone: (206) 520-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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