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GRAYLING MEDICAL GROUP LLC NPI 1497002968


NPI Information

NPI: 1497002968
Provider Name: GRAYLING MEDICAL GROUP LLC

Doing Business As: KENAI SPINE

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
240 HOSPITAL PLACE
SUITE 103
SOLDOTNA, AK
ZIP 99669
Phone: (907) 260-5455
Get Directions

GRAYLING MEDICAL GROUP LLC is an orthopaedic surgery of the spine orthopaedic surgery in Soldotna, AK. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. GRAYLING MEDICAL GROUP LLC NPI is 1497002968. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kenai Spine.

The provider's business location address is:

240 HOSPITAL PLACE
SUITE 103
SOLDOTNA, AK
ZIP 99669
Phone: (907) 260-5455
Fax: (877) 200-7122

The provider's authorized official is Nicole M Erb .
The authorized official title is Practice Administrator and has the following contact phone number (907) 714-3117.

The enumeration date for this NPI number is 8/14/2012 and was last updated on 11/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine6826ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11580702MEDICAIDALASKA
2MD9678MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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