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NPI Code Detail

MEDICARE: YEKATERINA ALEKSANDROVNA KUZMENKO M.D.

MEDICARE: YEKATERINA ALEKSANDROVNA KUZMENKO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician57596WI
2207R00000XInternal Medicine Physician66495MN

General Provider Information

NPI Number : 1326281056
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEKATERINA ALEKSANDROVNA KUZMENKO M.D.
Provider Business Mailing Address
First Line : 1997 SLOAN PL STE 17
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55117-2051
Country : US
Telephone Number : 651-772-6251
Fax Number : 651-224-9661
Provider Business Practice Location Address
First Line : 1997 SLOAN PL STE 17
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55117-2051
Country : US
Telephone Number : 651-772-6251
Fax Number : 651-224-9661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2009
Last Update Date : 10/25/2022

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Directions to “ YEKATERINA ALEKSANDROVNA KUZMENKO M.D.” Practice Location

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