Individual
KRISTEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25439 SCHAFF DRIVE, CHUGIAK, AK 99567
(907) 854-7033
Mailing address
PO BOX 672629, CHUGIAK, AK 99567-2629
(907) 854-7033
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
AK
251J00000X
Nursing Care Agency
—
AK
253J00000X
Foster Care Agency
—
AK
253Z00000X
In Home Supportive Care Agency
—
AK
373H00000X
Day Training/Habilitation Specialist
Primary
2225024
AK
373H00000X
Day Training/Habilitation Specialist
Primary
—
AK
Other
Enumeration date
06/17/2026
Last updated
07/24/2026
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