Andrew Jess Kashevarof
Counselor in Ketchikan, AK. Individual provider (NPI-1).
NPI number1609587237
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1609587237
- Entity type
- Individual (NPI-1)
- Name
- Andrew Jess Kashevarof
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2022
- Certification date
- Nov 23, 2022
- Last updated
- Dec 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
615 Stedman StKetchikan, AK 99901-6630
Phone 907-228-9365
Mailing address
615 Stedman StKetchikan, AK 99901-6630
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Counselor providers in Ketchikan · All 758 providers in Ketchikan
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