Individual
MR. EDWIN KINISU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
145 RUSTY ALLEN PL, ANCHORAGE, AK 99504-4879
(907) 227-9688
Mailing address
145 RUSTY ALLEN PL, ANCHORAGE, AK 99504-4879
(907) 227-9688
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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