Individual provider Active NPI

Kilbo Yun, DC

  • Chiropractor
  • Edmonds, WA
National Provider Identifier
1801643150
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR.CH.70078891 Issued in WA
Practice address
23700 Edmonds Way
Edmonds, WA 98026-8978
Phone
(425) 871-1083
Fax
(425) 871-0840
NPI assigned
May 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR.CH.70078891 WA Primary

Addresses

Primary practice location

23700 Edmonds Way
Edmonds, WA 98026-8978

Mailing address

23700 Edmonds Way
Edmonds, WA 98026-8978
Phone (425) 871-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614002467 IL Practitioner - Chiropractic 8628511946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lundgren Chiropractic, LTDGroup PAC ID 9234311010, 4 clinicians

Practice addresses (Care Compare)

2965 13TH Ave
Rock Island, IL 61201-2814
Phone (309) 793-4858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038014148ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lundgren Chiropractic, LTD Chiropractor CurrentSince May 1, 2024 Accepting new patients

Locations

2965 13th Ave
Rock Island, IL 61201
Phone (309) 793-4858

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1801643150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268978",
            "telephone_number": "425-871-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23700 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268978",
            "telephone_number": "425-871-1083",
            "fax_number": "425-871-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "KILBO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.70078891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.