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Contact Information

KETCHIKAN EMERGENCY PHYSICIANS, LLC
3100 TONGASS AVE
KETCHIKAN, AK99901-5746
 Phone: 907-225-5171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KETCHIKAN EMERGENCY PHYSICIANS, LLC

NPI # 1801690854
LBN Legal business name KETCHIKAN EMERGENCY PHYSICIANS, LLC
Authorized official KIM LARSEN - (VP, CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2025
Last updated 04/01/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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