Katie'S Way Fairbanks, Llc

LBN: Katie'S Way Fairbanks, Llc
Katie'S Way Fairbanks, Llc is an health care organization with primary practice located at 1275 Sadler Way Ste 104 , Fairbanks AK 99701-3175. The organization recently has 9 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Katie'S Way Fairbanks, Llc can be contacted via phone (907) 921-5511, or through Johnson, Kelly Rae via phone (785) 320-6616.

Contact Information

Primary practice address
1275 Sadler Way Ste 104 Fairbanks AK 99701-3175
Phone: (907) 921-5511
Fax: (907) 921-3574
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kelly Rae
Phone: (785) 320-6616

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X
Allopathic & Osteopathic Physicians / Obesity Medicine 207VB0002X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Obesity Medicine 2084B0002X
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1144927096
LBN Legal business name Katie'S Way Fairbanks, Llc
DBA Doing business as
Authorized official Johnson, Kelly Rae
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2023
Last updated Jul 12th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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