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Kyrylo Kirieiev, LCPO

in Ferndale, WA. Individual provider (NPI-1).

NPI number1619806056
StatusActive
Last updated in NPPESMay 13, 2026

Details

NPI
1619806056
Entity type
Individual (NPI-1)
Name
Kyrylo Kirieiev
Credential
LCPO
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2026
Certification date
May 13, 2026
Last updated
May 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Z00000X ORTH.OI.70017092WAYes
224P00000X ProsthetistPROS.PS.70017093WA

Practice location

1360 Sunset Ave
Ferndale, WA 98248-8913

Phone 360-384-1858

Mailing address

1360 Sunset Ave
Ferndale, WA 98248-8913

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