Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Ellen Kirillov, CDM

Individual provider Midwife · NPI 1619789252

Bethany Ellen Kirillov, CDM is a Midwife in Wasilla, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2025

Practice location Address checks out

525 E Silver Fox Ln
Wasilla, AK 99654-3846
Phone: (907) 521-5572
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 232272 (AK)

Record details

NPI number1619789252
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDM
Sole proprietorYes
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

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