Individual
KATE KIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1060 GAFFNEY RD, FT WAINWRIGHT, AK 99703-5002
(907) 361-5644
(907) 361-4823
Mailing address
1060 GAFFNEY RD, FT WAINWRIGHT, AK 99703-5002
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1513
NE
Other
Enumeration date
02/09/2015
Last updated
12/28/2021
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