NPI 1023103025

Kingkhan Boriboon, MD

Practitioner Pediatric Adolescent Medicine Physician Dearborn, MI

Practice location

Address: 3850 Pelham St, Dearborn, MI 48124-3832
Phone: (313) 562-9500
Fax: (313) 562-7567

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 4301031543 (MI)

Other Pediatrics providers in Michigan →

Registry record

NPI: 1023103025
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.