Erickson, Kelly Kathleen

Erickson, Kelly Kathleen is an individual health care provider with primary practice located at 3245 Hospital Dr , Juneau AK 99801-7809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Erickson, Kelly Kathleen can be contacted via phone (907) 463-4040.

Contact Information

Primary practice address
3245 Hospital Dr Juneau AK 99801-7809
Phone: (907) 463-4040
Fax: (907) 463-6663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 666 Alaska

Profile Details

NPI number 1003914391
LBN Legal business name Erickson, Kelly Kathleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 10th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003914391 NPPES
Alaska Other 8EB370 MEDICARE ID -TYPE UNSPECI
Alaska Other 8ED920 MEDICARE ID -TYPE UNSPECI
Alaska Other 8EB371 MEDICARE ID -TYPE UNSPECI
Alaska Other 8EB372 MEDICARE ID -TYPE UNSPECI
Alaska Other 8EB373 MEDICARE ID -TYPE UNSPECI

Popular Providers