Individual
JAMES KYLE TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1020 POTLATCH CIR, ANCHORAGE, AK 99503-1728
(907) 947-1862
Mailing address
1020 POTLATCH CIR, ANCHORAGE, AK 99503-1728
(907) 947-1862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
376
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376
STATE OF ALASKA
AK
Enumeration date
04/23/2018
Last updated
04/23/2018
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