Kenaitze Indian Tribe

NPI #1053293878 in Kenai, Alaska

Provider Information

NPI Number
1053293878
Entity Type
Organization
Organization Name
Kenaitze Indian Tribe
Subpart
Yes (part of a larger organization)
Parent Organization
KENAITZE INDIAN TRIBE
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 23, 2025
Last Updated
Jul 30, 2025

Practice Location

Address
12271 SOUTH FOREST DRIVE
City
Kenai
State
Alaska
ZIP Code
99611
Phone
(907) 335-7636

Authorized Official

Name
GREG BURNETT
Title
DIRECTOR OF FINANCE
Phone
(907) 335-7635

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Mental HealthMental Health
Registered Nurse - SchoolSchool
Speech-Language Pathologist
Community/Behavioral Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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