Individual
KELLI NAOMI SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7239
Mailing address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712857
—
AK
Enumeration date
04/29/2019
Last updated
06/19/2025
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