Individual
MELANIE J KIMMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-2225
(907) 376-9225
Mailing address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 373-2225
(907) 376-9225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
824
AK
363LP2300X
Primary Care Nurse Practitioner
Primary
NURU824
AK
Other
Enumeration date
09/15/2006
Last updated
05/03/2023
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