Providence Kodiak Medical Center

Practice location

Address

1915 E Rezanof Dr, Kodiak, AK 99615-6602

Phone

(907) 486-3281

Fax

(907) 481-2497

Authorised official

Name

Donald Wayne Anderson

Title

Assistant Secretary of Enrollments

Phone

(425) 358-9786

Registered specialties

Registry record

NPI

1306147434

Entity type

Organization

NPI issued

5 Nov 2010

Record last updated

15 May 2025

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.