Individual
HAILEY A BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 KENAI SPUR HWY, KENAI, AK 99611-7807
(907) 283-3658
Mailing address
10200 KENAI SPUR HWY, KENAI, AK 99611-7807
(907) 283-3658
(907) 283-5046
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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