NPI 1255528733

Kenai Family Practice LLC

Organisation Family Medicine Physician Kenai, AK

Practice location

Address: 135 Bidarka St Suite 101, Kenai, AK 99611-7741
Phone: (907) 335-0034
Fax: (907) 335-0064

Authorised official

Name: Terri L Elliott
Title: Owner
Phone: (907) 335-0034

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 4040 (AK)

Other Family Medicine providers in Alaska →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 725 (AK)

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 175 (AK)

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Registry record

NPI: 1255528733
Entity type: Organization
NPI issued: 28 Sep 2007
Record last updated: 9 Jun 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.