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Individual

KEVIN CHARLES PAISLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4015 LAKE OTIS PKWY STE 201, ANCHORAGE, AK 99508-5235
(907) 771-3500
(907) 771-3550
Mailing address
333 M ST APT 402, ANCHORAGE, AK 99501-1902
(954) 591-3636
(954) 591-3636

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2008016558
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1617926
AK
01
2008016558
MEDICAL LICENSE
MO
01
8162
ALASKA LICENSE
AK
Enumeration date
06/26/2008
Last updated
10/30/2014
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