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CAITLIN JUSTINE KOELLING DPM NPI 1063917177


NPI Information

NPI: 1063917177
Provider Name: CAITLIN JUSTINE KOELLING, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
3190 E MERIDIAN PARK LOOP STE 205
WASILLA, AK
ZIP 99654
Phone: (907) 569-3668
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Caitlin Justine Koelling, DPM is a foot and ankle surgery podiatrist in Wasilla, AK with 6 years of experience. Caitlin Justine Koelling, DPM NPI is 1063917177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN
Graduation Year:2018

The provider's business location address is:

3190 E MERIDIAN PARK LOOP STE 205
WASILLA, AK
ZIP 99654-422
Phone: (907) 569-3668
Fax: (907) 569-3669

The NPI 1063917177 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).

The enumeration date for this NPI number is 3/29/2018 and was last updated on 8/19/2021.


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
1213ES0103XPodiatristFoot & Ankle Surgery173700ALASKAYes

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

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.