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Bethany Kirillov, CDM

NPI 1619789252 · on the registry since 2025 · sole proprietor

Practice

Address
525 E Silver Fox Ln
Wasilla, AK 99654
Phone
(907) 521-5572

Registry record

Primary taxonomy
176B00000X
176B00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska