KODIAK BOARD CERTIFIED RADIOLOGY LLC NPI 1295032910

NPI Information

KODIAK BOARD CERTIFIED RADIOLOGY, LLC is a diagnostic radiology radiology in Kodiak, AK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KODIAK BOARD CERTIFIED RADIOLOGY, LLC NPI is 1295032910. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1915 E REZANOF DR
KODIAK, AK
ZIP 99615-602
Phone: (907) 486-9581
Fax: (907) 486-9523

The provider's authorized official is Kay E. Bias .
The authorized official title is Executive Director and has the following contact phone number (907) 565-8005.

The enumeration date for this NPI number is 2/15/2011 and was last updated on 3/8/2011.

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:

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