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MS. KIM MATTHEWS FNP
General Practice >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1265583207
Individual Registrant:MS. KIM MATTHEWS FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
21 RACHEL LANE BREVIG MISSION, AK 99785 US
Tel: 907-642-2307 Fax: --
Tel: 907-642-2307 Fax: --
Contact information for business:
21 RACHEL LANE POB 107 BREVIG MISSION, AK 99785 US
Tel: 907-642-2307 Fax: --
Tel: 907-642-2307 Fax: --
Registration Information:
NPI: 1265583207
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WG0000X | Nursing Service Providers Registered Nurse General Practice | NE | 110176 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
