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Individual

KELLY V BABICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
310 HOSPITAL ROAD, SAINT MARY'S, AK 99658-0310
(907) 438-3500
(907) 438-3541
Mailing address
PO BOX 310, SAINT MARYS, AK 99658-0310
(907) 438-3500
(907) 438-3541

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020986
AK
Enumeration date
01/24/2013
Last updated
01/28/2014
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