Individual
KODI STONEROCK KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(907) 264-9999
Mailing address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(907) 276-1131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
195203
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2022
Last updated
10/13/2022
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