Healthcare Provider Details

I. General information

NPI: 1821924382
Provider Name (Legal Business Name): KARA RAE KING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 W TUDOR RD STE 3
ANCHORAGE AK
99503-6649
US

IV. Provider business mailing address

510 W TUDOR RD STE 3
ANCHORAGE AK
99503-6649
US

V. Phone/Fax

Practice location:
  • Phone: 907-644-6004
  • Fax: 907-644-4432
Mailing address:
  • Phone: 907-644-6004
  • Fax: 907-644-4432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number226287
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: