Organization · Type 2 NPI
Ketchikan Functional Medicine
Health Service Clinic/Center · Ketchikan, AK
NPI number
1245152149
Active
Practice location
3159 Tongass Ave
Ketchikan, AK 99901-5745
Fax (907) 225-4006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
Other health service clinic/center providers in Ketchikan
About NPI 1245152149
Ketchikan Functional Medicine's National Provider Identifier is 1245152149, issued on Jul 29, 2026. 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 Jul 29, 2026.