Individual
KEVIN COLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4404
Mailing address
443 W RIVERVIEW AVE, SOLDOTNA, AK 99669-7714
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
32231
AK
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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