Individual
KATHERINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3841 PIPER ST STE T100, ANCHORAGE, AK 99508
(907) 561-3211
Mailing address
PO BOX 200149, ANCHORAGE, AK 99520-0149
(907) 561-2211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
125191
AK
Other
Enumeration date
10/24/2012
Last updated
02/05/2019
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