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Individual

ILLYA KULINYCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1625 MEDICAL CENTER DR, EL PASO, TX 79902-5005
(915) 218-4717
Mailing address
57 EXECUTIVE PARK S STE 300, ATLANTA, GA 30329-2287

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
TX

Other

Enumeration date
04/14/2025
Last updated
12/29/2025
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