Kathleen Boulette
Individual provider Active NPI Case Manager/Care Coordinator · Seward, AK
NPI 1538382007 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1538382007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 302 Railway Ave
Seward, AK 99664-1045 - Phone
- (907) 224-2941
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
302 Railway Ave
Seward, AK 99664-1045
Mailing address
PO Box 1045
Seward, AK 99664-1045
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM78381 | Medicaid | AK |
Other providers in Seward, AK
- Damen Bell
- Brook Benadom
- Christopher Bennett
- Alicia Brittney Blank
- Jordyn Eve Block
- Charlotte Boyd
- Jacob Gregory Breed
- Courtney Bringhurst
- Angela Joy Brown
- Clara Brown
All providers in Seward, AK · Case Manager/Care Coordinator in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.