Individual
KATHI M. STEVENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
505 'C' ILLIOIS STREET, FAIRBANKS, AK 99701
(907) 374-2850
Mailing address
PO BOX 70220, FAIRBANKS, AK 99707-0220
(907) 374-2850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
615
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8585
—
AK
Enumeration date
01/09/2006
Last updated
07/08/2007
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