Lee, Kristen Marie Iagulli

Lee, Kristen Marie Iagulli is an sole proprietor health care provider with primary practice located at 245 N Binkley St Ste 103 , Soldotna AK 99669-7500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lee, Kristen Marie Iagulli can be contacted via phone (907) 260-4468.

Contact Information

Primary practice address
245 N Binkley St Ste 103 Soldotna AK 99669-7500
Fax: (907) 260-4467
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7051 Alaska

Profile Details

NPI number 1982894861
LBN Legal business name Lee, Kristen Marie Iagulli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2007
Last updated Mar 14th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982894861 NPPES
Alaska MEDICAID MD9804

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