NPI 1215069414
Denali Mesa Corporation
Practice location
- Address
- 260 Caviar St STE a, Kenai, AK 99611-7738
- Phone
- (907) 258-8618
- Fax
- (907) 563-9291
- Mailing address
- 907 E Dowling Rd STE 26, Anchorage, AK 99518-1424
Authorised official
- Name
- Patrick Kinnebrew
- Title
- Vice President
- Phone
- (907) 258-8618
Registered specialties (2)
Physical Therapist
Primary
Occupational Therapist
Registry record
- NPI
- 1215069414
- Entity type
- Organization
- NPI issued
- 12 Mar 2007
- Record last updated
- 16 Jul 2008
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.