# UPSTREAM FAMILY MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063833937
- **Authorized official:** DR. KRISTEN MARIE IAGULLI LEE MD (OWNER)
- **Authorized official phone:** (907) 260-4468

## Contact information

- **Practice address:** 35743 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7161
- **Practice address phone:** (907) 260-4468
- **Practice address fax:** (907) 260-4467
- **Mailing address:** PO BOX 22652, BELFAST, ME 04915-4477
- **Mailing address phone:** (907) 260-4468
- **Mailing address fax:** (907) 260-4467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 01/20/2026
