Keilani Lorrainne Stockton

Individual provider Active NPI Community Health Worker · Klawock, AK

NPI 1669199808 · NPPES record last updated Oct 27, 2022

Key facts

NPI
1669199808
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
7300-A Klawock-Holis Hwy
Klawock, AK 99925
Phone
(907) 755-4918
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Searhc Past
since Oct 30, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X AK Yes

Addresses

Primary practice location

7300-A Klawock-Holis Hwy
Klawock, AK 99925

Mailing address

PO Box 69
Klawock, AK 99925-0069
Phone (907) 755-4918

Other providers in Klawock, AK

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

Sources for this page

Verify at the official NPI Registry.