Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leonid Fedorovych Kylyukh

Individual provider Physician Assistant · NPI 1336752906

Leonid Fedorovych Kylyukh is a Physician Assistant in Renton, Washington. Qualified in 2021, 5 years ago. Practices with Tra-Minw P S, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2020
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Practice location Address checks out

920 N 1st St
Renton, WA 98057-5759
Phone: (425) 255-4742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1304 Fawcett Ave, Tacoma, WA 98402-1911 — (253) 761-4200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61220795 (WA)

Record details

NPI number1336752906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tra-Minw P S — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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