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KIRA POLK
NPI 1710404074
Day Training/Habilitation Specialist in Bethel, AK

Active since August 28, 2017
460 RIDGECREST DRIVE, SUITE 215, BETHEL, AK 99559(907) 543-2762(907) 543-3152 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kira Polk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRA POLK (NPI 1710404074) is an individual day training/habilitation specialist in Bethel, Alaska and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1710404074
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameKIRA POLK
Location Address460 RIDGECREST DRIVE, SUITE 215Bethel, AK 99559
Mailing AddressP.o. Box 528, Attn: Bh Dd ServicesBethel, AK 99559 · (907) 543-2762 · Fax (907) 543-3152
Phone(907) 543-2762
Fax(907) 543-3152
Sole ProprietorNo
Enumeration DateAugust 28, 2017
✔ NPI 1710404074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
460 RIDGECREST DRIVE, Bethel, AK 99559
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Other Identifiers 2

Medicaid1002447AK
Medicaid1004541AK

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVY KATHERINE RILEY
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 215
BETHEL, AK 99559
Bethel (907) 543-2762
ALEXANDRA ACTIVE
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 215
BETHEL, AK 99559
Bethel (907) 543-2762
SOUTHERN HOME CARE SERVICES, INC.
In Home Supportive Care
460 RIDGECREST DRIVE, STE 110
BETHEL, AK 99559
Bethel (907) 543-7788
DEONNA GRAHAM
Day Training/Habilitation Specialist
460 RIDGECREST DRIVE, SUITE 214
BETHEL, AK 99559
Bethel (907) 543-2762
JARIS MICHAELS
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 215
BETHEL, AK 99559
Bethel (907) 543-2762
MRS. SERENA ROSE SOLESBEE
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 215
BETHEL, AK 99559
Bethel (907) 543-2762
ROCHELLE ANDREWS
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 209
BETHEL, AK 99559
Bethel (907) 543-3690
STACY TAYLOR
Case Manager/Care Coordinator
460 RIDGECREST DRIVE, SUITE 209
BETHEL, AK 99559
Bethel (907) 543-1777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kira Polk's NPI number?

The NPI number for Kira Polk is 1710404074. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Kira Polk located?

Kira Polk practices at 460 Ridgecrest Drive Suite 215, Bethel, AK 99559. The listed phone number is (907) 543-2762.

What is Kira Polk's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Kira Polk was last updated on August 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.