Individual
MS. KELSEY JEANNE CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
540 KARLUK ST, ANCHORAGE, AK 99501-2772
(907) 406-4696
Mailing address
540 KARLUK ST, ANCHORAGE, AK 99501-2772
(907) 406-4696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
171479
AK
363AS0400X
Surgical Physician Assistant
171479
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718325
—
AK
Enumeration date
09/08/2019
Last updated
12/30/2024
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