Individual
KELLY WYNN NEIHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1296 AVGIK STREET, BARROW, AK 99723-1496
(907) 852-9321
Mailing address
PO BOX 1496, BARROW, AK 99723-1496
(907) 852-9321
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
24374
AK
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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