Individual
KIMBERLY LYNN GEBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1408 19TH AVE, 4TH FLOOR, CLINICAL NURSING, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3811
Mailing address
1408 19TH AVE, 4TH FLOOR, CLINICAL NURSING, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
18221
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18221
REGISTERED NURSE LICENSE
AK
Enumeration date
06/20/2008
Last updated
06/20/2008
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