Independence Healthcare PC

NPI #1124667498 in Kenai, Alaska

Provider Information

NPI Number: 1124667498
Entity Type: Organization
Organization Name: Independence Healthcare PC
Primary Specialty: Family Medicine
Enumeration Date: Jan 3, 2020
Last Updated: Feb 25, 2020

Practice Location

Address: 100 TRADING BAY RD STE 8
City: Kenai
State: Alaska
ZIP Code: 99611-7786
Phone: (907) 283-4633

Authorized Official

Name: HENRY G KRULL
Title: MD/OWNER
Phone: (907) 262-6454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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