Individual
MR. KELLY TSCHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503
(907) 743-7200
Mailing address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
(907) 743-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1142
AK
363LF0000X
Family Nurse Practitioner
AP 60128758
WA
Other
Enumeration date
03/22/2010
Last updated
10/11/2019
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