Organization
KENAI MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER O. HANSEN M. D. (PRESIDENT)
(907) 283-4611
Entity
Organization
Contact information
Practice address
805 FRONTAGE RD, STE 123, KENAI, AK 99611-7755
(907) 283-4611
(907) 283-3992
Mailing address
805 FRONTAGE RD, STE 123, KENAI, AK 99611-7755
(907) 283-4611
(907) 283-3992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7331
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG733
—
AK
Enumeration date
04/09/2007
Last updated
08/22/2020
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