Charlie Keefa Kapotak

NPI 1508134750 - Community Health Worker - 172V00000X

NPI Details
NPI 1508134750
Gender Male
Enumeration Date 12/02/2011
Last Updated 12/02/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
DILLINGHAM AK, 99576-0130, US
Phone (907) 842-5201
Fax (907) 842-9250
Business Location
P.O. BOX 130
DILLINGHAM AK, 99576-0130, US
Phone (907) 842-5201
Fax (907) 842-9250
Taxonomy Code 172V00000X
License State
License Number
Remove 1508134750 NPI Number

According to our database, Charlie Keefa Kapotak NPI is 1508134750, taxonomy code is 172V00000X Charlie Keefa Kapotak physically located at 6000 Kanakanak Rd, Dillingham AK, 99576-0130. NPI Number Charlie Keefa Kapotak has the Individual type.

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1508134750 NPI number is provided on an as is basis without warranty of any kind. 1508134750 is maintained by the National Plan & Provider Enumeration System. The contents of Charlie Keefa Kapotak are for informational purposes only.