Individual
IRYNA KYLYUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 13TH ST, EVERETT, WA 98201-1689
(206) 724-6079
Mailing address
5849 MCKINLEY PL N, SEATTLE, WA 98103-5710
(206) 724-6079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60896550
WA
363AM0700X
Medical Physician Assistant
PA60896550
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121843
—
WA
Enumeration date
04/06/2017
Last updated
05/25/2022
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