Individual
KAITLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3051 VINTAGE BLVD, JUNEAU, AK 99801
(907) 463-0160
Mailing address
3190 FOSTER AVE, JUNEAU, AK 99801-1958
(907) 500-5024
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
218539
AK
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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