Active NPIIndividual providerSole proprietor

Kaitlin Koo

Student in an Organized Health Care Education/Training Program in Allston, Massachusetts

NPI Number1639003080
Practice location
75 Brainerd RD, Allston, MA 02134-4585
Fax
—
Last updated
June 10, 2026

Kaitlin Koo is a Student in an Organized Health Care Education/Training Program based in Allston, MA. Kaitlin Koo practices in Allston, MA. The NPI Number for Kaitlin Koo is 1639003080. The current practice location address for Kaitlin Koo is 75 Brainerd RD, Allston, MA 02134-4585 and can be reached out via phone at 857-269-8955.

Provider Profile Details

NPI Number
1639003080
Provider Name
Kaitlin Koo
Provider Entity Type
Individual
Gender
Female
Address
75 Brainerd RD, Allston, MA 02134-4585
Phone Number
857-269-8955
Sole Proprietor
Yes
Provider Enumeration Date
June 10, 2026
Last Update Date
June 10, 2026
Certification Date
June 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Brainerd RD
Allston, MA 02134-4585
Zip
02134-4585
Phone Number
857-269-8955
Allston, MA 02134Get directions →

Provider Business Mailing Address Details

Address
75 Brainerd RD Apt 411
Allston, MA 02134-4589
City
Allston
State
MA
Zip
02134-4589

License Information

License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaitlin Koo?

The NPI number of Kaitlin Koo is 1639003080. It was assigned on June 10, 2026 and is currently active in the NPPES registry.

What is the specialty of Kaitlin Koo?

Kaitlin Koo is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Kaitlin Koo practice?

The practice location is 75 Brainerd RD, Allston, MA 02134-4585. The office can be reached at 857-269-8955 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639003080 directly on the NPPES registry website.

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