Provider Demographics
NPI:1740523307
Name:KILE, KRIS R (FNP)
Entity type:Individual
Prefix:
First Name:KRIS
Middle Name:R
Last Name:KILE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 221221
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99522-1221
Mailing Address - Country:US
Mailing Address - Phone:907-677-2990
Mailing Address - Fax:907-222-4641
Practice Address - Street 1:2741 DEBARR RD 310
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2992
Practice Address - Country:US
Practice Address - Phone:907-677-2990
Practice Address - Fax:907-222-4641
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1356363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily