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DIMITRI KUZNETSOV, M.D. PLLC
NPI 1710184494
Urology - Pediatric Urology in Port Townsend, WA

Active since June 27, 2007
1274 7TH ST STE B, PORT TOWNSEND, WA 98368(360) 385-2905 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dimitri Kuznetsov, M.d. Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIMITRI KUZNETSOV, M.D. PLLC (NPI 1710184494) is a healthcare organization registered as a pediatric urology in Port Townsend, Washington and active in the NPI registry since June 2007. The organization lists Mary E. Keyes, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1710184494
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameDIMITRI KUZNETSOV, M.D. PLLC
Location Address1274 7TH ST STE BPort Townsend, WA 98368-2404
Mailing Address1274 7th St Ste BPort Townsend, WA 98368-2404 · (360) 385-2905
Phone(360) 385-2905
Organization SubpartNo
Authorized OfficialMary E. KeyesClinic Manager · (360) 385-2905
Enumeration DateJune 27, 2007
Last NPPES UpdateNovember 28, 2007
✔ NPI 1710184494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
1274 7TH ST STE B, Port Townsend, WA 98368
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Other Identifiers 2

Medicare PING8851110WA
Medicaid1120955WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Urology
1274 7TH ST STE B
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dimitri Kuznetsov, M.D. PLLC's NPI number?

The NPI number for Dimitri Kuznetsov, M.D. PLLC is 1710184494. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Dimitri Kuznetsov, M.D. PLLC located?

Dimitri Kuznetsov, M.D. PLLC is located at 1274 7th St Ste B, Port Townsend, WA 98368. The listed phone number is (360) 385-2905.

What is Dimitri Kuznetsov, M.D. PLLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

When was this NPI record last updated?

The NPPES record for Dimitri Kuznetsov, M.D. PLLC was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.