Organization
INDEPENDENCE HEALTHCARE PC
Active
Other names
Independence Healthcare Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY G KRULL (MD/OWNER)
(907) 262-6454
Entity
Organization
Contact information
Practice address
100 TRADING BAY RD STE 8, KENAI, AK 99611-7786
(907) 283-4633
(907) 262-0832
Mailing address
291 N FIREWEED ST, SOLDOTNA, AK 99669-7540
(907) 262-6454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
02/25/2020
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