Individual
NICOLE CASTILE-MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 WATER ST, KETCHIKAN, AK 99901-6147
(907) 463-6149
Mailing address
1016 WATER ST, KETCHIKAN, AK 99901-6147
(907) 463-6149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM1261
—
AK
Enumeration date
03/29/2007
Last updated
07/09/2007
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