Provider Demographics
NPI:1588813687
Name:KILBY, CHRISTINA ANN (MSN, MPH, NP-C, APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANN
Last Name:KILBY
Suffix:
Gender:F
Credentials:MSN, MPH, NP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 BARNACLE WAY STE A
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-7732
Mailing Address - Country:US
Mailing Address - Phone:907-335-3400
Mailing Address - Fax:907-335-3405
Practice Address - Street 1:630 BARNACLE WAY STE A
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-7732
Practice Address - Country:US
Practice Address - Phone:907-335-3400
Practice Address - Fax:907-335-3405
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK106631363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2044454Medicaid
MK3514040OtherDEA