Provider Demographics
NPI:1649870189
Name:HAMSKI, KASEY HOLLAND (ND)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:HOLLAND
Last Name:HAMSKI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17433 N JUANITA LOOP
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7518
Mailing Address - Country:US
Mailing Address - Phone:406-570-8104
Mailing Address - Fax:
Practice Address - Street 1:17433 N JUANITA LOOP
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7518
Practice Address - Country:US
Practice Address - Phone:406-570-8104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK157447175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath