Individual
KERI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 AIRPORT WAY, FAIRBANKS, AK 99701
(907) 451-0389
(907) 451-0210
Mailing address
PO BOX 13, ESTER, AK 99725
(907) 451-0389
(907) 451-0210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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