| Medicenter | |
|
10543 Kenai Spur Hwy Kenai AK 99611-7812 | |
| (907) 283-9118 | |
| (907) 283-5341 |
| Full Name | Medicenter |
|---|---|
| Speciality | Family Medicine |
| Location | 10543 Kenai Spur Hwy, Kenai, Alaska |
| Authorized Official Name and Position | R Lynn Carlson (MANAGING PHYSICIAN) |
| Authorized Official Contact | 9072839118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicenter 10543 Kenai Spur Hwy Kenai AK 99611-7812 Ph: (907) 283-9118 | Medicenter 10543 Kenai Spur Hwy Kenai AK 99611-7812 Ph: (907) 283-9118 |
| NPI Number | 1811135247 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811135247 | NPI | - | NPPES |
| MPG0152 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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