NPI 1326460387

Colleen McNulty

Practitioner Physical Disabilities Residential Treatment Facility Kenai, AK

Practice location

Address: 701 North Forest St., Kenai, AK 99611
Phone: (907) 335-2052
Fax: (907) 335-2051

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 101027 (AK)

Other Residential Treatment Facility, Physical Disabilities providers in Alaska →

Registry record

NPI: 1326460387
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2014
Record last updated: 10 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.