Individual
DAVID ERIC KILLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
8756 INYO CIR, EAGLE RIVER, AK 99577-9402
(304) 593-2220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
114011
AK
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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