Kenai Family Practice Llc
LBN: Kenai Family Practice Llc
Kenai Family Practice Llc is an health care organization with primary practice located at 135 Bidarka St Suite 101, Kenai AK 99611-7741. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Kenai Family Practice Llc can be contacted via phone (907) 335-0034, or through Elliott, Terri L via phone (907) 335-0034.
Contact Information
Primary practice address
135 Bidarka St Suite 101
Kenai AK 99611-7741
Phone: (907) 335-0034
Fax: (907) 335-0064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4040 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 725 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 175 | Alaska |
Profile Details
| NPI number | 1255528733 |
|---|---|
| LBN Legal business name | Kenai Family Practice Llc |
| DBA Doing business as | |
| Authorized official | Elliott, Terri L Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Jun 9th, 2008 - about 17 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255528733 | NPPES |
| Alaska | Other | K152261 | MEDICARE GROUP LEGACY |
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