NPI 1043361629

Kim Edward Thiele, DO

Practitioner Family Medicine Physician Kenai, AK

Practice location

Address: 36901 Mallard Rd, Kenai, AK 99611-6434
Phone: (907) 283-5000
Fax: (907) 283-5013

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MEDO4125 (AK)

Other Family Medicine providers in Alaska →

Registry record

NPI: 1043361629
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2007
Record last updated: 20 Nov 2019

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.