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KATMAI ONCOLOGY GROUP LLC NPI 1063150043


NPI Information

NPI: 1063150043
Provider Name: KATMAI ONCOLOGY GROUP, LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
12001 BUSINESS BLVD STE 3C
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 562-0321
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KATMAI ONCOLOGY GROUP, LLC is a hematology and oncology internal medicine in Eagle River, AK. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. KATMAI ONCOLOGY GROUP, LLC NPI is 1063150043. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12001 BUSINESS BLVD STE 3C
EAGLE RIVER, AK
ZIP 99577-743
Phone: (907) 562-0321
Fax: (907) 562-2683

The provider's authorized official is Theodore Y Kim .
The authorized official title is Partner and has the following contact phone number (907) 677-5826.

The enumeration date for this NPI number is 5/20/2022 and was last updated on 5/20/2022.


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
1207RH0003XInternal MedicineHematology & OncologyYes

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

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