Organization
KUTSYS MEDICAL PRACTICE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA KUTSY (PRES)
(425) 637-2340
Entity
Organization
Contact information
Practice address
1545 116TH AVE NE STE 104, BELLEVUE, WA 98004-3813
(425) 637-2340
Mailing address
1750 112TH AVE NE, STE D160, BELLEVUE, WA 98004-3752
(425) 637-2340
(425) 637-0036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032596
WA
Other
Enumeration date
12/19/2007
Last updated
11/14/2014
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