Individual
IAN KENNETH SKALSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-2
Contact information
Practice address
1000 E 36TH AVE, ANCHORAGE, AK 99508-4304
(907) 227-2231
Mailing address
3542 E GODFREY DR, WASILLA, AK 99654-9773
(907) 521-0330
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
20505384
AK
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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