Melanie Kusakavitch, DO

NPI #1184485104 in Keesler Afb, Mississippi

Provider Information

NPI Number: 1184485104
Entity Type: Individual
Name: Melanie Kusakavitch, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: Jan 17, 2024
Last Updated: Jan 17, 2024

Practice Location

Address: 301 FISHER ST RM 5A127
City: Keesler Afb
State: Mississippi
ZIP Code: 39534-2508
Phone: (228) 376-5571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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