Individual
CYNTHIA J. KUSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2700 152ND AVE NE, REDMOND, WA 98052-5543
(425) 883-5151
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10001654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8407199
—
WA
Enumeration date
01/17/2007
Last updated
07/27/2007
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