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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