Individual
KIM E MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4141 B ST, SUITE 401, ANCHORAGE, AK 99503-5940
(907) 770-2380
(907) 770-2325
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2341
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5356
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD5380
—
AK
Enumeration date
03/24/2006
Last updated
11/23/2016
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