DR. Kitima Boonvisudhi

NPI #1134198005 in Albany, Oregon

Provider Information

NPI Number: 1134198005
Entity Type: Individual
Name: DR. Kitima Boonvisudhi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Enumeration Date: Mar 14, 2006
Last Updated: Jan 27, 2025

Practice Location

Address: 400 HICKORY ST NW STE 101
City: Albany
State: Oregon
ZIP Code: 97321-1700
Phone: (541) 812-3360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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