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Individual

DR. TATYANA KUTSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1750 112TH AVE NE, BUILD 4 D-160, BELLEVUE, WA 98004-3752
(425) 637-2340
(425) 637-0036
Mailing address
8513 218TH ST SW, EDMONDS, WA 98026-7859

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032596
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1096999
WA
Enumeration date
09/04/2006
Last updated
11/08/2014
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