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MRS. KELLY KATHLEEN ERICKSON PA-C NPI 1003914391


NPI Information

NPI: 1003914391
Provider Name: MRS. KELLY KATHLEEN ERICKSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3245 HOSPITAL DR
JUNEAU, AK
ZIP 99801
Phone: (907) 463-4040
Get Directions

MRS. Kelly Kathleen Erickson, PA-C is a medical physician assistant in Juneau, AK. MRS. Kelly Kathleen Erickson, PA-C NPI is 1003914391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3245 HOSPITAL DR
JUNEAU, AK
ZIP 99801-809
Phone: (907) 463-4040
Fax: (907) 463-6663

The NPI 1003914391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/10/2020.


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
1363AM0700XPhysician AssistantMedical666ALASKAYes

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
18EB373OTHERALASKAMEDICARE ID-TYPE UNSPECIF
28EB371OTHERALASKAMEDICARE ID -TYPE UNSPECI
38EB372OTHERALASKAMEDICARE ID-TYPE UNSPECIF
48EB370OTHERALASKAMEDICARE ID -TYPE UNSPECI
58ED920OTHERALASKAMEDICARE ID-TYPE UNSPECIF

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.