Individual
KIMBERLY F REVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3200 TAYSHEE CIR, ANCHORAGE, AK 99504-3950
(907) 830-7525
Mailing address
3705 ARCTIC BLVD # 2565, ANCHORAGE, AK 99503-5774
(907) 830-7525
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
184390
AK
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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