Individual
KATY MARIE SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 N BINKLEY ST STE 203, SOLDOTNA, AK 99669-7500
(907) 260-3121
(907) 260-4022
Mailing address
PO BOX 4136, SOLDOTNA, AK 99669-4136
(907) 260-9250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3723
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD37231
—
AK
Enumeration date
07/14/2006
Last updated
01/09/2013
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