KENAI FAMILY PRACTICE LLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1255528733- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 135 BIDARKA ST SUITE 101, KENAI, AK, 996117741
- Phone
- (907) 335-0034
- Fax
- (907) 335-0064
Specialties & Taxonomies
Nurse Practitioner
License: AK #175
Physician Assistant
License: AK #725
Family Medicine
Primary License: AK #4040