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805 Frontage Rd Suite 123 Kenai AK 99611-9104 | |
(907) 283-4611 | |
(907) 283-3992 |
Full Name | |
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Speciality | Family Medicine |
Location | 805 Frontage Rd, Kenai, Alaska |
Authorized Official Name and Position | Richard Davis (CEO) |
Authorized Official Contact | 9077144723 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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250 Hospital Pl Soldotna AK 99669-7559 Ph: (907) 714-4404 | 805 Frontage Rd Suite 123 Kenai AK 99611-9104 Ph: (907) 283-4611 |
NPI Number | 1003299108 |
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Provider Enumeration Date | 07/07/2015 |
Last Update Date | 07/07/2015 |
Identifier | Type | State | Issuer |
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1003299108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Alaska) | Primary |
282NR1301X | General Acute Care Hospital - Rural | GACH-003 (Alaska) | Secondary |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Frontage Rd # 400, Kenai, AK 99611 Phone: 509-222-1275 Fax: 509-491-3031 | |
Kenai Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Bidarka St, Suite 101, Kenai, AK 99611 Phone: 907-335-0034 Fax: 907-335-0064 | |
Kenai Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Frontage Rd, Ste 123, Kenai, AK 99611 Phone: 907-283-4611 Fax: 907-283-3992 |