Individual
HEDY LEANN MCGAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50135 TERRY RAY AVE., KENAI, AK 99611
(907) 260-9469
Mailing address
PO BOX 8324, NIKISKI, AK 99635-8324
(907) 252-7654
(866) 431-3260
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM75121
—
AK
Enumeration date
08/09/2007
Last updated
01/06/2015
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