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

Individual provider Physician Assistant · NPI 1972782514

Sergey D Kukhotsky, PAC is a Physician Assistant in Everett, Washington. Qualified in 2007, 19 years ago. Practices with Community Health Center of Snohomish County, a 85-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Licensed in
WA
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1019 112th St SW
Everett, WA 98204
Phone: (425) 551-6200
Fax: (425) 551-6017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10005315 (WA)

Record details

NPI number1972782514
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 31, 2007
Last updated in NPPESOctober 31, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Community Health Center Of Snohomish County — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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