| Upstream Family Medicine Inc | |
|
35743 Kenai Spur Hwy Ste A Soldotna AK 99669-7161 | |
| (907) 260-4468 | |
| (907) 260-4467 |
| Full Name | Upstream Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 35743 Kenai Spur Hwy Ste A, Soldotna, Alaska |
| Authorized Official Name and Position | Kristen Marie Iagulli Lee (OWNER) |
| Authorized Official Contact | 9072604468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstream Family Medicine Inc Po Box 22652 Belfast ME 04915-4477 Ph: (907) 260-4468 | Upstream Family Medicine Inc 35743 Kenai Spur Hwy Ste A Soldotna AK 99669-7161 Ph: (907) 260-4468 |
| NPI Number | 1063833937 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 06/07/2021 |
| Medicare PECOS PAC ID | 7911128434 |
|---|---|
| Medicare Enrollment ID | O20141027002633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063833937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristen Marie Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982894861 PECOS PAC ID: 8729272703 Enrollment ID: I20120119000842 |
| Provider Name | David M Abel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598151797 PECOS PAC ID: 6507170792 Enrollment ID: I20180905003277 |
| Provider Name | Kattrina Michelle Rall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023541000 PECOS PAC ID: 2769898162 Enrollment ID: I20210924000625 |
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