| Independence Healthcare Primary Care | |
|
100 Trading Bay Rd Ste 8 Kenai AK 99611-7786 | |
| (907) 283-4633 | |
| (907) 262-0832 |
| Full Name | Independence Healthcare Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Trading Bay Rd Ste 8, Kenai, Alaska |
| Authorized Official Name and Position | Henry G Krull (MD/OWNER) |
| Authorized Official Contact | 9072626454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Healthcare Primary Care 291 N Fireweed St Soldotna AK 99669-7540 Ph: (907) 262-6454 | Independence Healthcare Primary Care 100 Trading Bay Rd Ste 8 Kenai AK 99611-7786 Ph: (907) 283-4633 |
| NPI Number | 1124667498 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124667498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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