Individual
KAREN DYAN IMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3719 E MERIDIAN LOOP, SUITE D, WASILLA, AK 99654-7270
(907) 373-7337
(907) 357-9029
Mailing address
3719 E MERIDIAN LOOP, SUITE D, WASILLA, AK 99654-7270
(907) 373-7337
(907) 357-9029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4300
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD10661
—
AK
Enumeration date
08/29/2006
Last updated
07/09/2007
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