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Organization
KENNETH S HAHN
Active
Organization
KENNETH S HAHN
Active
Other names
Redoubt Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S HAHN (OWNER)
(907) 283-6030
Entity
Organization
Contact information
Practice address
11472 KENAI SPUR HWY STE 2, KENAI, AK 99611-7779
(907) 283-6030
(907) 283-3194
Mailing address
11472 KENAI SPUR HWY STE 2, KENAI, AK 99611-7779
(907) 283-6030
(907) 283-3194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
11/13/2007
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