Individual
KIM HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21724 CHANDELLE CIR, CHUGIAK, AK 99567-5582
(907) 688-2172
Mailing address
21724 CHANDELLE CIR, CHUGIAK, AK 99567-5582
(907) 688-2172
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
27967
AK
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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