Individual
KIMBERLY SUE THORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6819 ROVENNA ST, ANCHORAGE, AK 99518-2169
(907) 646-1412
Mailing address
6819 ROVENNA ST, ANCHORAGE, AK 99518-2169
(907) 646-1412
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
733686
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC5274
—
AK
05
—
RL5274
—
AK
Enumeration date
03/08/2007
Last updated
07/09/2007
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