| Doctor Name: | MRS. KELLY KATHLEEN ERICKSON |
| NPI Number: | 1003914391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 666 |
| Business Practice Address: | 3245 Hospital Dr Juneau, AK - 998017809 |
| Business Phone Number: | 9074634040 |
| Business Fax Number: | 9074636663 |
| Mailing Address: | 222 Tongass Dr, SITKA |
| State: | AK |
| Postal Code: | 998359416 |
| Phone Number: | 9074634040 |
| Fax Number: | 9074636663 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 06/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |