Individual
DR. KELSEY LOUAINE CHEREPUSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
805 SE CLEARWATER DR, PULLMAN, WA 99163-7007
(208) 892-1346
Mailing address
805 SE CLEARWATER DR, PULLMAN, WA 99163-7007
(208) 892-1346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9871652
ID
207Q00000X
Family Medicine Physician
A147541
CA
207Q00000X
Family Medicine Physician
Primary
MD61686351
WA
2083P0901X
Public Health & General Preventive Medicine Physician
9871652
ID
2083P0901X
Public Health & General Preventive Medicine Physician
MD61686351
WA
Other
Enumeration date
06/04/2015
Last updated
10/01/2025
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