Individual
MISS KIMBERLY MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BARROW ST, SUITE 404, ANCHORAGE, AK 99501-3631
(907) 258-3498
(907) 279-0171
Mailing address
600 BARROW ST, SUITE 404, ANCHORAGE, AK 99501-3631
(907) 258-3498
(907) 279-0171
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMPENDING
—
AK
Enumeration date
10/01/2009
Last updated
10/01/2009
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