Individual
KIEL PATRICK COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
650 YOUNKER CT, FAIRBANKS, AK 99701-7586
(907) 590-4078
Mailing address
650 YOUNKER CT, FAIRBANKS, AK 99701-7586
(907) 590-4078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURR36892
AK
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
NURR36892
AK
Other
Enumeration date
05/13/2016
Last updated
04/28/2024
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