Individual
MRS. HEIDI LEIGH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1108 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4219
(907) 349-3054
Mailing address
6416 15TH CT APT A, ELMENDORF AFB, AK 99506-2005
(907) 375-1943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
32081
AK
363LW0102X
Women's Health Nurse Practitioner
Primary
1193
AK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1193
AK
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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