Alan A Kuzuguk, CHA

Individual provider Active NPI Community Health Worker · Shishmaref, AK

NPI 1124513015 · NPPES record last updated Jun 25, 2018

Key facts

NPI
1124513015
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
123 Oceanview
Shishmaref, AK 99772-0133
Phone
(907) 640-3311
Fax
(907) 649-2083
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

123 Oceanview
Shishmaref, AK 99772-0133

Mailing address

P.O. Box 133
Shishmaref, AK 99772-0133
Phone (907) 649-3311

Other providers in Shishmaref, AK

All providers in Shishmaref, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.