1518352541 NPI number — KIRILL MIKHAIL GELFENBEYN D.O.

Table of content: KIRILL MIKHAIL GELFENBEYN D.O. (NPI 1518352541)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518352541 NPI number — KIRILL MIKHAIL GELFENBEYN D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GELFENBEYN
Provider First Name:
KIRILL
Provider Middle Name:
MIKHAIL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518352541
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1225 CAMPBELL WAY STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BREMERTON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98310-3323
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-377-1355
Provider Business Mailing Address Fax Number:
360-377-1558

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1225 CAMPBELL WAY STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BREMERTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98310-3323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-377-1355
Provider Business Practice Location Address Fax Number:
360-377-1558
Provider Enumeration Date:
04/06/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  OP60912776 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2142713 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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