Individual
SERGEY D KUKHOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1019 112TH ST SW, EVERETT, WA 98204
(425) 551-6200
(425) 551-6017
Mailing address
1019 112TH ST SW, EVERETT, WA 98204
(425) 551-6200
(425) 551-6017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005315
WA
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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