Individual
KIMBERLY KILKENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8012 STEWART MOUNTAIN DR, EAGLE RIVER, AK 99577-9013
(907) 772-3332
(888) 858-8850
Mailing address
2600 CORDOVA ST STE 101, ANCHORAGE, AK 99503-2745
(907) 600-3425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
947
AK
1041C0700X
Clinical Social Worker
Primary
947
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH1413
—
AK
Enumeration date
02/18/2010
Last updated
05/06/2026
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