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Individual

KIMBERLY SHAYD ULERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHA III

Contact information

Practice address
101 INDIAN CREEK ROAD, BOX 82068, TYONEK, AK 99682-0068
(907) 729-6752
(907) 583-2155
Mailing address
E STREET HOUSE 40, TYONEK, AK 99682-0034
(907) 729-6753
(907) 583-2155

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16-1413-III
AK

Other

Enumeration date
03/29/2017
Last updated
03/29/2017
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