| Kathleen Doris Senecal, FNP-C, MSN, CWCN | |
|
2755 Dagan Cir, North Pole, AK 99705-6498 | |
| (907) 750-9721 | |
| Not Available |
| Full Name | Kathleen Doris Senecal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2755 Dagan Cir, North Pole, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235561127 | NPI | - | NPPES |
| 146162 | Other | AK | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WW0000X | Registered Nurse - Wound Care | 30133 (Alaska) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 146162 (Alaska) | Primary |
| Entity Name | Tanana Valley Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Doris Senecal, FNP-C, MSN, CWCN 2755 Dagan Cir, North Pole, AK 99705-6498 Ph: (907) 750-9721 | Kathleen Doris Senecal, FNP-C, MSN, CWCN 2755 Dagan Cir, North Pole, AK 99705-6498 Ph: (907) 750-9721 |
Mrs. Whitney Mcclintock, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4313 Polar Fox Loop, North Pole, AK 99705 Phone: 330-401-1028 | |
Lyndsey E Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2957 Santa Patricia Ct, North Pole, AK 99705 Phone: 907-385-0257 |