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Contact Information

WYNELLE R SNOW, MD
21 JEFFERSON ST
SUITE 201
KETCHIKAN, AK99901-5875
 Phone: 907-220-9948
 Fax: 907-220-9947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for WYNELLE R SNOW · (Female)

NPI # 1427085760
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 04/16/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 1271
  • AK Medicaid MD60041
Hospital affiliation(s)
  • PEACEHEALTH KETCHIKAN MEDICAL CENTER - (Critical Access)
    3100 TONGASS AVENUE
    KETCHIKAN, AK 99901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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