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NPI Code Detail

MEDICARE: MS. KARI SUE BERNARD PA-C

MEDICARE: MS. KARI SUE BERNARD PA-C
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
1363AM0700XMedical Physician Assistant1147AK

General Provider Information

NPI Number : 1881672996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARI SUE BERNARD PA-C
Provider Business Mailing Address
First Line : 3211 PROVIDENCE DR
Second Line : BRAGAW OFFICE BUILDING SUITE 220
City : ANCHORAGE
State : AK
Zip : 99508-4614
Country : US
Telephone Number : 907-786-5481
Fax Number :
Provider Business Practice Location Address
First Line : 4315 DIPLOMACY DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-5926
Country : US
Telephone Number : 907-729-1729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 06/11/2015

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