NPI 1013551456

Medical Network of Alaska, LLC

Organisation Family Medicine Physician Kenai, AK

Practice location

Address: 10543 Kenai Spur Hwy, Kenai, AK 99611-7812
Phone: (907) 357-9590
Fax: (907) 357-9593
Mailing address: 3122 E Meridian Park Loop, Wasilla, AK 99654-7255

Authorised official

Name: Jacquelyn Renee Blomker
Title: Rcm
Phone: (907) 864-4625

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Alaska →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Alaska →

Registry record

NPI: 1013551456
Entity type: Organization
NPI issued: 29 Oct 2019
Record last updated: 2 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.