Individual
CAROLYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 KANAKANAK ROAD, DILLINGHAM, AK 99576-0310
(907) 842-4139
(907) 842-4106
Mailing address
PO BOX 310, DILLINGHAM, AK 99576-0310
(907) 842-4139
(907) 842-4106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CM 9533
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM 9533
—
AK
Enumeration date
05/17/2007
Last updated
07/09/2007
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