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Organization
UPSTREAM FAMILY MEDICINE INC
Active
Organization
UPSTREAM FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN MARIE IAGULLI LEE MD (OWNER)
(907) 260-4468
Entity
Organization
Contact information
Practice address
35743 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7161
(907) 260-4468
(907) 260-4467
Mailing address
PO BOX 22652, BELFAST, ME 04915-4477
(907) 260-4468
(907) 260-4467
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
01/20/2026
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