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Contact Information

JARED R KIRKHAM, MD
4100 LAKE OTIS PKWY STE 108
ANCHORAGE, AK99508-5230
 Phone: 907-563-3145
 Fax: 833-464-5196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JARED R KIRKHAM · (Male)

NPI Number 1144544107
Status Active
Credentials MD
Entity Individual
Enumeration date 03/19/2010
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # MEDS7978
  • AK Medicaid 1610529
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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