MR. VLADIMIR KUKSENKO NPI 1003362328

NPI Information

  • NPI: 1003362328
  • Provider Name: MR. VLADIMIR KUKSENKO
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Individual
  • Address: 1958 EATON AVE
    FERNDALE, WA
    ZIP 98248
  • Phone: (360) 318-5636

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NPI Details

MR. Vladimir Kuksenko is a residential treatment facility physical disabilities in Ferndale, WA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MR. Vladimir Kuksenko NPI is 1003362328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1958 EATON AVE
FERNDALE, WA
ZIP 98248-709
Phone: (360) 318-5636

The enumeration date for this NPI number is 8/28/2016 and was last updated on 8/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical Disabilities60525301WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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