Kenai Family Practice LLC

NPI #1255528733 in Kenai, Alaska

Provider Information

NPI Number: 1255528733
Entity Type: Organization
Organization Name: Kenai Family Practice LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 28, 2007
Last Updated: Jun 9, 2008

Practice Location

Address: 135 BIDARKA ST
Address 2: SUITE 101
City: Kenai
State: Alaska
ZIP Code: 99611-7741
Phone: (907) 335-0034

Authorized Official

Name: DR. TERRI L ELLIOTT, D.O.
Title: OWNER
Phone: (907) 335-0034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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