Individual
KEIRSTEN SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2247 MISTYBROOK CIR, ANCHORAGE, AK 99502-4642
(907) 279-9072
Mailing address
PO BOX 220922, ANCHORAGE, AK 99522-0922
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2007
Last updated
10/27/2007
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