Individual
KATHY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 LEANDER CIR, ANCHORAGE, AK 99515-2539
(907) 830-3730
Mailing address
2305 LEANDER CIR, ANCHORAGE, AK 99515-2539
(907) 830-3730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
305S00000X
Point of Service
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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