Organization · Type 2 NPI

Medical Network of Alaska, LLC

Family Medicine Physician · Kenai, AK

NPI number 1013551456 Active

Practice location

10543 Kenai Spur Hwy
Kenai, AK 99611-7812

Call (907) 357-9590 Map

Fax (907) 357-9593

Mailing address

3122 E Meridian Park Loop
Wasilla, AK 99654-7255

Other practice locations

3122 E Meridian Park Loop, Wasilla, AK 99654-7255 · (907) 357-9590

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
General Practice Physician	208D00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Kenai

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NPI record

NPI: 1013551456
Entity type: Organization (Type 2)
Issued: Oct 29, 2019
Last updated: Nov 2, 2020
Status: Active
Subpart: Yes of Capstone Family Medicine, LLC

Other names

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Capstone Clinic · doing business as
Capstone Clinic · doing business as

Authorized official

Jacquelyn Renee Blomker
RCM
(907) 864-4625

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013551456

Medical Network of Alaska, LLC's National Provider Identifier is 1013551456, issued on Oct 29, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Kenai, AK. The record was last updated on Nov 2, 2020.