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Contact Information

KODIAK BIRTH AND WELLNESS, LLC
211 W HILLCREST ST
KODIAK, AK99615-6005
 Phone: 907-244-9295
 Fax: 907-331-0491
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for KODIAK BIRTH AND WELLNESS LLC · (Female)

NPI Number 1285265181
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2020
Last updated 01/31/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK Medicaid 1703918
  • AK Medicaid 180101
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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