Individual
KIMBERLEY TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1867 AIRPORT WAY STE 225, FAIRBANKS, AK 99701-4062
(907) 455-4480
Mailing address
7005 COLD FOOT CT, SALCHA, AK 99714-9713
(907) 488-3089
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC00915
—
AK
Enumeration date
01/23/2013
Last updated
01/23/2013
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