Individual
KRISTIN JOHANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4041
(907) 463-4032
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4041
(907) 463-4032
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17-142-PDHA II
AK
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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