Individual
KIMBERLY JO CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1901 N HEMMER RD APT 208, PALMER, AK 99645-9673
(907) 203-4677
(800) 516-0397
Mailing address
1901 N HEMMER RD STE 211, PALMER, AK 99645-9690
(907) 203-4677
(907) 745-3780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NURR26951
AK
363LF0000X
Family Nurse Practitioner
Primary
198965
AK
Other
Enumeration date
04/26/2022
Last updated
07/15/2025
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