Individual
KINIK NAKAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA-I
Contact information
Practice address
94 BAKER STREET, ST.MICHAEL, AK 99659
(907) 923-3311
(907) 923-2287
Mailing address
94 BAKER STREET, ST.MICHAEL, AK 99659
(907) 923-3311
(907) 923-2287
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA-I
CHA-I
AK
Enumeration date
04/20/2015
Last updated
04/20/2015
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