Kenai Medical Center - Cph | |
805 Frontage Rd Suite 123 Kenai AK 99611-9104 | |
(907) 283-4611 | |
(907) 283-3992 |
Full Name | Kenai Medical Center - Cph |
---|---|
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 |
---|---|
Kenai Medical Center - Cph 250 Hospital Pl Soldotna AK 99669-7559 Ph: (907) 714-4404 | Kenai Medical Center - Cph 805 Frontage Rd Suite 123 Kenai AK 99611-9104 Ph: (907) 283-4611 |
NPI Number | 1003299108 |
---|---|
Provider Enumeration Date | 07/07/2015 |
Last Update Date | 07/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003299108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Alaska) | Primary |
282NR1301X | General Acute Care Hospital - Rural | GACH-003 (Alaska) | Secondary |
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