Individual
KRISTEN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576
(907) 444-4338
Mailing address
P.O. BOX 130, DILLINGHAM, AK 99576
(907) 444-4338
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
22-1665-I
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-1665-I
CHAP BOARD
AK
Enumeration date
07/01/2022
Last updated
07/01/2022
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