Individual
KATHLEEN DORIS SENECAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, MSN, CWCN
Contact information
Practice address
2755 DAGAN CIR, NORTH POLE, AK 99705-6498
(907) 750-9721
Mailing address
2755 DAGAN CIR, NORTH POLE, AK 99705-6498
(907) 750-9721
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
30133
AK
363LF0000X
Family Nurse Practitioner
Primary
146162
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146162
LICENSE NUMBER
AK
Enumeration date
08/02/2013
Last updated
06/19/2019
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