Organization
KODIAK BIRTH AND WELLNESS, LLC
Active
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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