Homer, Kristen L

Homer, Kristen L is an individual health care provider with primary practice located at 1293 Seward Ave , Sitka AK 99835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Homer, Kristen L can be contacted via phone (907) 966-5205.

Contact Information

Primary practice address
1293 Seward Ave Sitka AK 99835
Phone: (907) 966-5205
Fax: (907) 623-0978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 521 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NURU521 Alaska

Profile Details

NPI number 1104998707
LBN Legal business name Homer, Kristen L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Nov 21st, 2011 - about 14 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 1104998707 NPPES
Alaska MEDICAID NP0244

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