Individual
KISHA BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5313 ARCTIC BLVD STE 200, ANCHORAGE, AK 99518-1111
(907) 202-3379
Mailing address
5901 E 6TH AVE SPC 246, ANCHORAGE, AK 99504-4876
(907) 792-0624
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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