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NPI Code Detail

MEDICARE: KHRIS ANNE OLDE

MEDICARE: KHRIS ANNE OLDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1033047303
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHRIS ANNE OLDE
Provider Business Mailing Address
First Line : 5842 KATAHDIN DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99502-1881
Country : US
Telephone Number : 907-770-0862
Fax Number :
Provider Business Practice Location Address
First Line : 4000 OLD SEWARD HWY STE 300
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-6079
Country : US
Telephone Number : 907-770-0862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ KHRIS ANNE OLDE ” Practice Location

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