Organization · Type 2 NPI

Benjamin Kennah Pa-C

Surgical Physician Assistant · Anchorage, AK

NPI number 1134599061 Active

Practice location

2741 Debarr Rd Ste C214
Anchorage, AK 99508-2978

Fax (907) 644-4885

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant Primary	363AS0400X	103875 (AK)

Surgical Physician Assistant: Definition to come...

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NPI record

NPI: 1134599061
Entity type: Organization (Type 2)
Issued: Oct 5, 2015
Last updated: Oct 5, 2015
Status: Active
Subpart: Yes of Orthopaedic Research Clinic of Alaska

Other names

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Orthopaedic Research Clinic of Alaska · other name

Authorized official

Mr. Ben L Kennah, PA-C
Provider
(907) 644-6055

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About NPI 1134599061

Benjamin Kennah Pa-C's National Provider Identifier is 1134599061, issued on Oct 5, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Anchorage, AK. The record was last updated on Oct 5, 2015.