Individual
KERRY A ANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
17025 SNOWMOBILE LN, EAGLE RIVER, AK 99577-7044
(907) 694-9553
(907) 694-9585
Mailing address
3066 E MERIDIAN PARK LOOP, STE 3, WASILLA, AK 99654-7254
(907) 357-9590
(907) 357-9593
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1073
AK
Other
Enumeration date
11/09/2012
Last updated
09/28/2017
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