Individual
GEORGIA KAY DEKEYSER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3200 PROVIDENCE DR, RASMUSON HALL, SUITE 116, ANCHORAGE, AK 99508-4661
(907) 786-4040
(907) 786-4049
Mailing address
2259 SAINT ELIAS DR, ANCHORAGE, AK 99517-1248
(907) 248-3090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
512
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD9942
—
AK
Enumeration date
01/24/2006
Last updated
07/08/2007
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