David Eric Killingsworth, L.P.N
Individual provider Active NPI Licensed Practical Nurse · Anchorage, AK
NPI 1265064208 · NPPES record last updated Feb 7, 2020
Key facts
- NPI
- 1265064208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 114011 (AK)
- Practice address
- 670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561 - Phone
- (907) 770-0862
- NPI assigned
- Feb 7, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114011 | AK | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 114011 | AK | Yes |
Addresses
Primary practice location
670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561
Mailing address
8756 Inyo Cir
Eagle River, AK 99577-9402
Phone (304) 593-2220
Other providers in Anchorage, AK
- Joyce T Kiliona
- Steven James Kilkenny
- Aryanna Killebrew
- Aisling Killian
- Stephani Killian
- Stephanie Killingsworth
- Brianna Killpatrick
- Kim Kobus PHD
- Kathleen Kim-Sreypeou
- Chang Inn Kim
All providers in Anchorage, AK · Licensed Practical Nurse in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.