Dimitri Kuznetsov, M.D. Pllc

LBN: Dimitri Kuznetsov, M.D. Pllc
Dimitri Kuznetsov, M.D. Pllc is an health care organization with primary practice located at 1274 7Th St Ste B , Port Townsend WA 98368-2404. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as the primary health care specialty. Dimitri Kuznetsov, M.D. Pllc can be contacted via phone (360) 385-2905, or through Keyes, Mary E. via phone (360) 385-2905.

Contact Information

Primary practice address
1274 7Th St Ste B Port Townsend WA 98368-2404
Phone: (360) 385-2905
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keyes, Mary E.
Phone: (360) 385-2905

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1710184494
LBN Legal business name Dimitri Kuznetsov, M.D. Pllc
DBA Doing business as
Authorized official Keyes, Mary E.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Nov 28th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710184494 NPPES
Washington MEDICAID 1120955

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