Individual
MIKI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5861 ARCTIC BLVD STE D, ANCHORAGE, AK 99518-1692
(907) 561-1600
(907) 561-1601
Mailing address
PO BOX 200248, ANCHORAGE, AK 99520-0248
(907) 561-1600
(907) 561-1601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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