Medical Network of Alaska, LLC

NPI #1013551456 in Kenai, Alaska

Provider Information

NPI Number: 1013551456
Entity Type: Organization
Organization Name: Medical Network of Alaska, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CAPSTONE FAMILY MEDICINE, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 29, 2019
Last Updated: Nov 2, 2020

Practice Location

Address: 10543 KENAI SPUR HWY
City: Kenai
State: Alaska
ZIP Code: 99611-7812
Phone: (907) 357-9590

Authorized Official

Name: JACQUELYN RENEE BLOMKER
Title: RCM
Phone: (907) 864-4625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Family Medicine	207Q00000X	Primary

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