Individual
COLLEEN MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 NORTH FOREST ST., KENAI, AK 99611
(907) 335-2052
(907) 335-2051
Mailing address
701 NORTH FOREST ST., KENAI, AK 99611
(907) 335-2052
(907) 335-2051
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
101027
AK
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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