Individual provider · Type 1 NPI
Michael Krasnokutsky
Military Health Care Provider · Charlotte, NC
NPI number
1356465611
Active
Practice location
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Other practice locations
- 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 · (253) 968-2130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2020-00890 (NC) |
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1356465611
Michael Krasnokutsky's National Provider Identifier is 1356465611, issued on Mar 19, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 12, 2024.