Organization
KINDAE DERMATOLOGY AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RECHELLE TULL (OWNER)
(706) 123-4567
Entity
Organization
Contact information
Practice address
2741 DEBARR RD STE 215, ANCHORAGE, AK 99508-2978
(706) 218-1724
Mailing address
1120 HUFFMAN RD STE 24-401, ANCHORAGE, AK 99515-3516
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
06/12/2024
Last updated
03/24/2026
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