Provider Demographics
NPI:1497094965
Name:KARABELNIKOFF, KATHERINE M
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:M
Last Name:KARABELNIKOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9601 COPPER DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1205
Mailing Address - Country:US
Mailing Address - Phone:907-947-7365
Mailing Address - Fax:
Practice Address - Street 1:9601 COPPER DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-1205
Practice Address - Country:US
Practice Address - Phone:907-947-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKPC05591Medicaid