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Contact Information

KELLY COUTSOUBOS
6000 KANAKANAK ROAD
MEDICAL STAFF OFFICE
DILLINGHAM, AK99576
 Phone: 907-842-5201
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for KELLY COUTSOUBOS · (Female)

NPI Number 1184920597
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2011
Last updated 02/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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