Individual
KIM SCHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46594 SPRUCE HAVEN ST, KENAI, AK 99611-9659
(907) 776-8292
Mailing address
46594 SPRUCE HAVEN ST, KENAI, AK 99611-9659
(907) 776-8292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5757
AK
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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