Individual provider · Type 1 NPI
Shane Udelhoven, PA-C
Medical Physician Assistant · Soldotna, AK
NPI number
1124355359
Active
Practice location
35670 Kenai Spur Hwy Ste 103A
Soldotna, AK 99669-7649
Fax (980) 495-8870
Mailing address
48690 Tote Rd
Soldotna, AK 99669-9155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | PADA893 (AK) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Innovative Sleep Solutions, LLCClinical Medical Laboratory Soldotna, AK NPI 1386729234
- Sound Imaging, LLCSonography Radiologic Technologist Soldotna, AK NPI 1376300731
- Shaira A. Shah, LCSW, JD, LPN, C.HT.Clinical Social Worker Soldotna, AK NPI 1184254476
- Tamar Gibli Marcotte, DOFamily Medicine Physician Soldotna, AK NPI 1417185117
Other medical physician assistant providers in Soldotna
- Danna Mavis Constance Moisii, PA-CMedical Physician Assistant Soldotna, AK NPI 1003318585
- Stacey Pault, PA-CMedical Physician Assistant Soldotna, AK NPI 1356621643
- Bryan Lee Pherson, PA-CMedical Physician Assistant Soldotna, AK NPI 1619162799
- Daniel D. Nyitrai, PA-CMedical Physician Assistant Soldotna, AK NPI 1962494781
About NPI 1124355359
Shane Udelhoven, PA-C's National Provider Identifier is 1124355359, issued on Nov 9, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Soldotna, AK. The record was last updated on Feb 18, 2020.