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Individual
KAREN E. ALSTON
Active
Individual
KAREN E. ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
436
MT
363AS0400X
Surgical Physician Assistant
Primary
AMD-1070
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97003
BCBS PROVIDER NUMBER
MT
Enumeration date
07/06/2006
Last updated
10/08/2021
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