Individual provider · Type 1 NPI

Konstantin Sergeyevich Gutnichenko

Surgical Assistant · Fairfax, VA

NPI number 1538847348 Active

Practice location

12011 Lee Jackson Hwy Ste 501
Fairfax, VA 22033-3315

Call (703) 259-7027 Map

Mailing address

PO Box 221135
Chantilly, VA 20153-1135

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007X0136000798 (VA)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1538847348

Konstantin Sergeyevich Gutnichenko's National Provider Identifier is 1538847348, issued on Jul 11, 2023. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Fairfax, VA. The record was last updated on Jul 11, 2023.