Individual
IFTEKIA MARIE KAPOTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CROSS THE CREEK ROAD, KOLIGANEK, AK 99576-9957
(907) 596-6086
Mailing address
PO BOX 5051, KOLIGANEK, AK 99576-5051
(907) 596-6086
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
7561344
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1732937
—
AK
Enumeration date
09/19/2022
Last updated
06/27/2025
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