Individual
DARCIE L KINGEEKUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA
Contact information
Practice address
AIRPORT RD 151, SAVOONGA, AK 99769-0151
(907) 984-6513
(907) 984-6068
Mailing address
PO BOX 151, SAVOONGA, AK 99769-0151
(907) 984-6513
(907) 984-6068
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA
NPI
AK
Enumeration date
07/03/2019
Last updated
07/03/2019
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