Kenaitze Indian Tribe

NPI #1194603076 in Soldotna, Alaska

Provider Information

NPI Number: 1194603076
Entity Type: Organization
Organization Name: Kenaitze Indian Tribe
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Aug 26, 2025
Last Updated: Aug 26, 2025

Practice Location

Address: 206 W ROCKWELL AVE
City: Soldotna
State: Alaska
ZIP Code: 99669-7439
Phone: (907) 335-7200

Authorized Official

Name: GREG BURNETT
Title: FINANCE DIRECTOR
Phone: (907) 335-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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