Organization · Type 2 NPI
Kic Tribal Health Clinic
Health Service Clinic/Center · Ketchikan, AK
NPI number
1124341896
Active
Practice location
2960 Tongass Ave
Ketchikan, AK 99901-5742
Fax (907) 228-4905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 11131 (AK) |
Health Service Clinic/Center: Definition to come...
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Other health service clinic/center providers in Ketchikan
About NPI 1124341896
Kic Tribal Health Clinic's National Provider Identifier is 1124341896, issued on Mar 9, 2010. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Ketchikan, AK. The record was last updated on Mar 9, 2010.