Individual
MARK HAMISH KIMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2751 DEBARR RD, STE 280, ANCHORAGE, AK 99508-2953
(907) 222-1401
(907) 222-1402
Mailing address
2751 DEBARR RD, STE 280, ANCHORAGE, AK 99508-2953
(907) 222-1401
(907) 222-1402
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
6065
AK
208C00000X
Colon & Rectal Surgery Physician
MD00037698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033128335
GROUP NPI
AK
01
—
1326006925
NPI
—
05
—
MD3928
—
AK
Enumeration date
05/03/2006
Last updated
06/12/2008
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