Kuksenko, Vladimir

Kuksenko, Vladimir is an sole proprietor health care provider with primary practice located at 1958 Eaton Ave , Ferndale WA 98248-9709. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as his primary health care specialty. Kuksenko, Vladimir can be contacted via phone (360) 318-5636.

Contact Information

Primary practice address
1958 Eaton Ave Ferndale WA 98248-9709
Phone: (360) 318-5636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 60525301 Washington

Profile Details

NPI number 1003362328
LBN Legal business name Kuksenko, Vladimir
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2016
Last updated Aug 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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