Individual
KYRYLO KIRIEIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPO
Contact information
Practice address
1360 SUNSET AVE, FERNDALE, WA 98248-8913
(360) 384-1858
Mailing address
1360 SUNSET AVE, FERNDALE, WA 98248-8913
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
ORTH.OI.70017092
WA
224P00000X
Prosthetist
PROS.PS.70017093
WA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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