Individual
MELANIE KUSAKAVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 FISHER ST RM 5A127, KEESLER AFB, MS 39534-2508
(228) 376-5571
Mailing address
11 OSBORNE DR, PITTSTON, PA 18640-3752
(570) 760-6896
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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