Individual
KIRA BENDIXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576-0130
(907) 842-5201
(907) 842-9250
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-9218
(907) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
135348
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1631635
—
AK
Enumeration date
06/11/2014
Last updated
10/18/2018
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