Healy, Kathleen Louise

Healy, Kathleen Louise is an individual health care provider with primary practice located at 10 Takotna Ave. , Mcgrath AK 99627-9800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Healy, Kathleen Louise can be contacted via phone (907) 729-8624.

Contact Information

Primary practice address
10 Takotna Ave. Mcgrath AK 99627-9800
Phone: (907) 729-8624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ANP 734 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 734 Alaska

Profile Details

NPI number 1811990575
LBN Legal business name Healy, Kathleen Louise
Credentials ANP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811990575 NPPES
Alaska MEDICAID NP23951

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