NPI 1124667498

Independence Healthcare PC

Organisation Family Medicine Physician Kenai, AK

Practice location

Address: 100 Trading Bay Rd STE 8, Kenai, AK 99611-7786
Phone: (907) 283-4633
Fax: (907) 262-0832
Mailing address: 291 N Fireweed St, Soldotna, AK 99669-7540

Authorised official

Name: Henry G Krull
Title: Md/Owner
Phone: (907) 262-6454

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Alaska →

Registry record

NPI: 1124667498
Entity type: Organization
NPI issued: 3 Jan 2020
Record last updated: 25 Feb 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.