Organization
KILE SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY ARTHUR KILE SA-C/PA-C (SURGICAL ASSIST/PHYSICIAN ASSISTANT)
(907) 351-3929
Entity
Organization
Contact information
Practice address
10618 KETCH CIR, ANCHORAGE, AK 99515-2429
(907) 351-3929
(907) 562-3525
Mailing address
10618 KETCH CIR, ANCHORAGE, AK 99515-2429
(907) 351-3929
(907) 562-3525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
853
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K162255
MEDICARE/MEDICAID PROVIDER NUMBER
AK
Enumeration date
05/05/2010
Last updated
05/05/2010
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