Individual provider · Type 1 NPI

Melanie Kusakavitch, DO

Student in an Organized Health Care Education/Training Program · Keesler Afb, MS

NPI number 1184485104 Active

Practice location

301 Fisher St Rm 5A127
Keesler Afb, MS 39534-2508

Call (228) 376-5571 Map

Mailing address

11 Osborne Dr
Pittston, PA 18640-3752

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184485104

Melanie Kusakavitch, DO's National Provider Identifier is 1184485104, issued on Jan 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Keesler Afb, MS. The record was last updated on Jan 17, 2024.