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Organization

CAPITOLMED LLC

Active
Other names
Polaris Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN A HALL M.D. (OWNER / PHYSICIAN)
(907) 247-7827
Entity
Organization

Contact information

Practice address
25 JEFFERSON WAY, SUITE 102B, KETCHIKAN, AK 99901-5953
(907) 247-7827
(973) 215-2052
Mailing address
25 JEFFERSON WAY STE 102B, KETCHIKAN, AK 99901-5953
(907) 247-7827
(973) 215-2052

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700612
AK
Enumeration date
08/30/2019
Last updated
12/15/2025
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