| Functional Medicine Of Alaska, Llc | |
|
610 Attla Way Ste 2 Kenai AK 99611-7777 | |
| (833) 848-2633 | |
| (907) 290-7063 |
| Full Name | Functional Medicine Of Alaska, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Attla Way Ste 2, Kenai, Alaska |
| Authorized Official Name and Position | Kristen Coletti Giesler (OWNER) |
| Authorized Official Contact | 9073957329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Medicine Of Alaska, Llc 610 Attla Way Ste 2 Kenai AK 99611-7777 Ph: (907) 290-7063 | Functional Medicine Of Alaska, Llc 610 Attla Way Ste 2 Kenai AK 99611-7777 Ph: (833) 848-2633 |
| NPI Number | 1982176368 |
|---|---|
| Provider Enumeration Date | 12/22/2018 |
| Last Update Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982176368 | NPI | - | NPPES |
| 1022362 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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