Individual
PATRICIA KJELLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 ARCA DR, ANCHORAGE, AK 99508-3462
(907) 277-6677
(907) 272-2162
Mailing address
2211 ARCA DR, ANCHORAGE, AK 99508-3462
(907) 277-6677
(907) 272-2162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
TAXONOMY NUMBER
AK
Enumeration date
04/06/2007
Last updated
07/08/2007
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