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Aleksandr Anatolyevich Kasyanchuk
Psychiatric/Mental Health Nurse Practitioner in Port Orchard, Washington
NPI 1124805031

Aleksandr Anatolyevich Kasyanchuk is a Psychiatric/Mental Health Nurse Practitioner based in Kirkland, WA and is specialized in Psychiatric/Mental Health. Aleksandr Anatolyevich Kasyanchuk practices in Port Orchard, WA. The NPI Number for Aleksandr Anatolyevich Kasyanchuk is 1124805031 and holds a License No. AP61482837 (Washington).

The current practice location address for Aleksandr Anatolyevich Kasyanchuk is 320 S Kitsap Blvd, Port Orchard, WA and can be reached out via phone at 360-377-3776.

Location: 320 S Kitsap Blvd, Port Orchard, WA, 98034-4480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124805031
Provider Name
Aleksandr Anatolyevich Kasyanchuk
Credential
Provider Entity Type
Individual
Gender
Male
Address
320 S Kitsap Blvd, Port Orchard, WA, 98034-4480
Phone Number
360-377-3776
Fax Number
Provider Enumeration Date
09/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 S Kitsap Blvd
City
Port Orchard
State
Washington
Zip
98366-3778
Phone Number
360-377-3776
Fax Number
person
Provider Business Mailing Address Details
Address
320 S Kitsap Blvd
City
Port Orchard
State
Washington
Zip
98366-3778
Phone Number
360-377-3776
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP61482837 (Washington)
Definition
Definition to come...
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