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KEVIN CREELMAN MD PC NPI 1831343102


NPI Information

NPI: 1831343102
Provider Name: KEVIN CREELMAN, MD, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
104 CENTER AVE
STE 100
KODIAK, AK
ZIP 99615
Phone: (907) 486-4183
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KEVIN CREELMAN, MD, PC is a family medicine in Kodiak, 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. KEVIN CREELMAN, MD, PC NPI is 1831343102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 CENTER AVE
STE 100
KODIAK, AK
ZIP 99615-393
Phone: (907) 486-4183
Fax: (907) 486-4211

The provider's authorized official is Kevin Creelman .
The authorized official title is Md and has the following contact phone number (907) 486-4183.

The enumeration date for this NPI number is 11/12/2008 and was last updated on 11/12/2008.


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
1207Q00000XFamily MedicineAA1326ALASKAYes

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
1MD13262MEDICAIDALASKA
2K160377MEDICARE UPINALASKA

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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