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KENNETH S HAHN NPI 1609944271


NPI Information

NPI: 1609944271
Provider Name: KENNETH S HAHN

Doing Business As: REDOUBT MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 02D0697688

Address:
11472 KENAI SPUR HWY STE 2
KENAI, AK
ZIP 99611
Phone: (907) 283-6030
Get Directions

KENNETH S HAHN 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. KENNETH S HAHN NPI is 1609944271. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Redoubt Medical Clinic.

The provider's business location address is:

11472 KENAI SPUR HWY STE 2
KENAI, AK
ZIP 99611-779
Phone: (907) 283-6030
Fax: (907) 283-3194

The provider's authorized official is Kenneth S Hahn .
The authorized official title is Owner and has the following contact phone number (907) 283-6030.

The CLIA number assigned to this NPI record is 02D0697688 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/1/2006 and was last updated on 11/13/2007.


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
1207Q00000XFamily MedicineYes

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
1K152109MEDICARE ID-TYPE UNSPECIFIEDALASKAMEDICARE

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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