Dostal, Kimberly Park

Dostal, Kimberly Park is an individual health care provider with primary practice located at 3225 Hospital Dr # 102, Juneau AK 99801. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dostal, Kimberly Park can be contacted via phone (907) 586-3068.

Contact Information

Primary practice address
3225 Hospital Dr # 102 Juneau AK 99801
Phone: (907) 586-3068
Fax: (907) 586-3078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 16309 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 357 Alaska

Profile Details

NPI number 1477692838
LBN Legal business name Dostal, Kimberly Park
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Nov 30th, 2011 - about 13 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 1477692838 NPPES
Alaska MEDICAID AP0350

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