IndividualActive
Star Theodore
NPI 1144086083 · Personal Care Attendant · Kenai, AK
Star Theodore is a Personal Care Attendant provider in Kenai, AK (NPI 1144086083).
Provider details
- NPI number
- 1144086083
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1712359 (AK)
Practice location
130 S Willow St Ste 9
Kenai, AK 99611-9107
Phone: (907) 782-8377
Street-level locationGet directions
Mailing address
130 S Willow St Ste 9
Kenai, AK 99611-9107
Registry dates
- Enumerated
- 2024-02-27
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.