| Kenai Family Practice Llc | |
|
135 Bidarka St Suite 101 Kenai AK 99611-7741 | |
| (907) 335-0034 | |
| (907) 335-0064 |
| Full Name | Kenai Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 135 Bidarka St, Kenai, Alaska |
| Authorized Official Name and Position | Terri L Elliott (OWNER) |
| Authorized Official Contact | 9073350034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenai Family Practice Llc 135 Bidarka St Suite 101 Kenai AK 99611-7741 Ph: (907) 335-0034 | Kenai Family Practice Llc 135 Bidarka St Suite 101 Kenai AK 99611-7741 Ph: (907) 335-0034 |
| NPI Number | 1255528733 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255528733 | NPI | - | NPPES |
| K152261 | Other | AK | MEDICARE GROUP LEGACY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4040 (Alaska) | Primary |
| 363A00000X | Physician Assistant | 725 (Alaska) | Secondary |
| 363L00000X | Nurse Practitioner | 175 (Alaska) | Secondary |
Kenai Medical Center - Cph Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Frontage Rd, Suite 123, Kenai, AK 99611 Phone: 907-283-4611 Fax: 907-283-3992 | |
Capstone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-357-9590 Fax: 907-357-9593 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Frontage Rd # 400, Kenai, AK 99611 Phone: 509-222-1275 Fax: 509-491-3031 | |
Independence Healthcare Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Trading Bay Rd Ste 8, Kenai, AK 99611 Phone: 907-283-4633 Fax: 907-262-0832 | |
Redoubt Medical Group Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Frontage Rd Ste 200, Kenai, AK 99611 Phone: 907-283-6030 Fax: 907-283-3194 | |
Kenai Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Frontage Rd, Ste 123, Kenai, AK 99611 Phone: 907-283-4611 Fax: 907-283-3992 |