Individual
SOPHIE M KANINGOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA-T
Contact information
Practice address
PO BOX 190, GAMBELL, AK 99742-0190
(907) 985-5012
(907) 985-5085
Mailing address
1000 GREG KRUSHEK AVE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-3471
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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