Kristy Kunayak, CHA-T

Individual provider Active NPI Community Health Worker · Little Diomede, AK

NPI 1457717340 · NPPES record last updated Jan 7, 2016

Key facts

NPI
1457717340
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
Front Street 7059
Little Diomede, AK 99762
Phone
(907) 686-3311
Fax
(907) 686-2181
NPI assigned
Jan 7, 2016
Sex
Female
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 AK Yes

Addresses

Primary practice location

Front Street 7059
Little Diomede, AK 99762

Mailing address

P.O. Box 7059
Little Diomede, AK 99762-7059
Phone (907) 686-3311

Other identifiers

IdentifierTypeStateIssuer
CHA-TOtherAKCHA-T

Other providers in Little Diomede, AK

All providers in Little Diomede, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.