Individual
RITA MARIE KALISTOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, SUITE 3000, YUKON-KUSKOKWIM HEALTH CORPORATION, BETHEL, AK 99559-0287
(907) 543-6151
Mailing address
1219 UIVIK SUBDIVISION, BOX 941, BETHEL, AK 99559-0287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
247
AK
Other
Enumeration date
03/30/2007
Last updated
07/07/2008
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