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Organization

KODIAK BIRTH AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELKE SAUNDERS CDM (OWNER)
(907) 244-9295
Entity
Organization

Contact information

Practice address
211 W HILLCREST ST, KODIAK, AK 99615-6005
(907) 244-9295
(907) 331-0491
Mailing address
211 W HILLCREST ST, KODIAK, AK 99615-6005

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
207Q00000X
Family Medicine Physician
363LF0000X
Family Nurse Practitioner
367A00000X
Advanced Practice Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1703918
AK
05
180101
AK
Enumeration date
01/29/2020
Last updated
01/31/2022
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