Individual
KIMBERLY PARK DOSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3225 HOSPITAL DR, # 102, JUNEAU, AK 99801
(907) 586-3068
(907) 586-3078
Mailing address
3225 HOSPITAL DR, # 102, JUNEAU, AK 99801-7809
(907) 586-3068
(907) 586-3078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
16309
AK
363L00000X
Nurse Practitioner
Primary
357
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP0350
—
AK
Enumeration date
02/05/2007
Last updated
11/30/2011
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