Individual
KATHLEEN EDNA OYOUMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
189 N. HAPPY VALLEY RD., UNALAKLEET, AK 99684-0189
(907) 924-3535
(907) 924-3692
Mailing address
189 N. HAPPY VALLEY RD., UNALAKLEET, AK 99684-0189
(907) 924-3535
(907) 924-3692
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
13-1233-III
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-1233-III
CHA III
AK
Enumeration date
03/20/2013
Last updated
03/20/2013
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