Individual
JOHN EDWARD KASUKONIS, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4521
(907) 714-4699
Mailing address
PO BOX 315, SOLDOTNA, AK 99669-0315
(907) 260-3524
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
207P00000X
Emergency Medicine Physician
Primary
2467
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDO2467
PROFESSIONAL LICENSE
AK
Enumeration date
12/12/2006
Last updated
05/04/2025
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