Organization
KEVIN CREELMAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CREELMAN M.D. (MD)
(907) 486-4183
Entity
Organization
Contact information
Practice address
104 CENTER AVE, STE 100, KODIAK, AK 99615-6393
(907) 486-4183
(907) 486-4211
Mailing address
PO BOX 8103, KODIAK, AK 99615-8103
(907) 486-4183
(907) 486-4211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA1326
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD13262
—
AK
Enumeration date
11/12/2008
Last updated
11/12/2008
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