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Contact Information

SUSAN K FISK, CPM
855 SAND DOLLAR DR
KENAI, AK99611-8818
 Phone: 907-299-7140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for SUSAN K FISK · (Female)

NPI # 1083275671
Status Active
Credentials CPM
Entity Individual
Enumeration date 06/24/2019
Last updated 06/24/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 18110007
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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