Individual
KATHLEEN FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
354 MEDICAL GROUP, 2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-4041
Mailing address
354 MEDICAL GROUP, 2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149163
AK
Other
Enumeration date
12/04/2019
Last updated
12/01/2023
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