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Contact Information

MELANIE J KIMMERY, ANP
1001 E BOGARD RD
WASILLA, AK99654-7114
 Phone: 907-373-2225
 Fax: 907-376-9225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MELANIE J KIMMERY · (Female)

NPI # 1366548877
Status Active
Credentials ANP (Adult Nurse Practitioner)
Entity Individual
Enumeration date 09/15/2006
Last updated 05/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 824
  • AK License # NURU824
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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