NPI 1528563608

Travis J Kassaiuli

Practitioner Community Health Worker Emmonak, AK

Practice location

Address: 315 Kwiguk Street, Emmonak, AK 99581
Phone: (907) 949-3500
Fax: (907) 949-3541

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Alaska →

Registry record

NPI: 1528563608
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2018
Record last updated: 29 Mar 2018

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.