IndividualActive
Colleen Mcnulty
NPI 1326460387 · Physical Disabilities Residential Treatment Facility · Kenai, AK
Provider details
- NPI number
- 1326460387
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 101027 (AK)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
701 North Forest St.
Kenai, AK 99611
Phone: (907) 335-2052
Fax: (907) 335-2051
Approximate (ZIP-level) locationGet directions
Mailing address
701 North Forest St.
Kenai, AK 99611
Registry dates
- Enumerated
- 2014-01-10
- Last updated
- 2014-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.