Kodiak Area Native Association

NPI #1093213167 in Kodiak, Alaska

Provider Information

NPI Number: 1093213167
Entity Type: Organization
Organization Name: Kodiak Area Native Association
Subpart: Yes (part of a larger organization)
Parent Organization: KODIAK AREA NATIVE ASSOCIATION
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 24, 2018
Last Updated: Jan 24, 2018

Practice Location

Address: 1317 MILL BAY RD
City: Kodiak
State: Alaska
ZIP Code: 99615-6411
Phone: (907) 486-3291

Authorized Official

Name: MICHAEL PFEFFER
Title: CHIEF OPERATING OFFICER
Phone: (907) 486-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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