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Organization

SOUTH PENINSULA HOSPITAL KENAI CLINIC

Active
Parent organization
SOUTH PENINSULA HOSPITAL, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH PENINSULA HOSPITAL, INC
Authorized official
RYAN K SMITH (CEO)
(907) 235-0241
Entity
Organization

Contact information

Practice address
220 SPUR VIEW DR, KENAI, AK 99611-6880
(907) 235-8101
Mailing address
4300 BARTLETT ST, HOMER, AK 99603-7000

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
06/22/2026
Last updated
06/22/2026
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