Individual
KATHRYN AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM APRN
Contact information
Practice address
205 W FAIRVIEW AVE, HOMER, AK 99603-7032
(907) 435-0555
(844) 274-6970
Mailing address
205 W FAIRVIEW AVE, HOMER, AK 99603-7032
(907) 435-0555
(844) 274-6970
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
115061
AK
363L00000X
Nurse Practitioner
115061
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1655161
—
AK
05
—
1702227
—
AK
Enumeration date
09/29/2016
Last updated
04/17/2020
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