Individual
KATELYN STEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3765 E. BLUE LUPINE DR. STE D, WASILLA, AK 99654
(907) 707-1671
Mailing address
3765 E. BLUE LUPINE DR. SUITE D, WASILLA, AK 99654
(907) 707-1671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
184340
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1725360
—
AK
Enumeration date
08/27/2020
Last updated
07/22/2022
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