# KENNETH S HAHN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Redoubt Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609944271
- **Authorized official:** KENNETH S HAHN (OWNER)
- **Authorized official phone:** (907) 283-6030

## Contact information

- **Practice address:** 11472 KENAI SPUR HWY STE 2, KENAI, AK 99611-7779
- **Practice address phone:** (907) 283-6030
- **Practice address fax:** (907) 283-3194
- **Mailing address:** 11472 KENAI SPUR HWY STE 2, KENAI, AK 99611-7779
- **Mailing address phone:** (907) 283-6030
- **Mailing address fax:** (907) 283-3194

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 11/13/2007