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KENAI FAMILY PRACTICE LLC NPI 1255528733


NPI Information

NPI: 1255528733
Provider Name: KENAI FAMILY PRACTICE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
135 BIDARKA ST
SUITE 101
KENAI, AK
ZIP 99611
Phone: (907) 335-0034
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KENAI FAMILY PRACTICE LLC is a family medicine in Kenai, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KENAI FAMILY PRACTICE LLC NPI is 1255528733. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

135 BIDARKA ST
SUITE 101
KENAI, AK
ZIP 99611-741
Phone: (907) 335-0034
Fax: (907) 335-0064

The provider's authorized official is Terri L Elliott .
The authorized official title is Owner and has the following contact phone number (907) 335-0034.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 6/9/2008.


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
1363L00000XNurse Practitioner175ALASKANo
2363A00000XPhysician Assistant725ALASKANo
3207Q00000XFamily Medicine4040ALASKAYes

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
1K152261OTHERALASKAMEDICARE GROUP LEGACY

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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