| Peninsula Internal Medicine Pc | |
|
247 N Fireweed St Ste A Soldotna AK 99669-7540 | |
| (907) 262-8597 | |
| (907) 262-6516 |
| Full Name | Peninsula Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 247 N Fireweed St, Soldotna, Alaska |
| Authorized Official Name and Position | William Joseph Kelley (OWNER CORPORATE VICE PRESIDENT) |
| Authorized Official Contact | 9072628597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Internal Medicine Pc 247 N Fireweed Ste A Soldotna AK 99669 Ph: (907) 262-8597 | Peninsula Internal Medicine Pc 247 N Fireweed St Ste A Soldotna AK 99669-7540 Ph: (907) 262-8597 |
| NPI Number | 1285661959 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285661959 | NPI | - | NPPES |
| MDG848 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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