Individual
KEILS KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
350 14TH AVE, SKAGWAY, AK 99840-0537
(907) 983-2255
(907) 983-2793
Mailing address
PO BOX 537, SKAGWAY, AK 99840-0537
(907) 983-2255
(907) 983-2793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21487
CA
363A00000X
Physician Assistant
Primary
PADA854
AK
Other
Enumeration date
03/13/2009
Last updated
08/11/2026
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