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Contact Information

KATMAI ONCOLOGY GROUP, LLC
12001 BUSINESS BLVD STE 3C
EAGLE RIVER, AK99577-7743
 Phone: 907-562-0321
 Fax: 907-562-2683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KATMAI ONCOLOGY GROUP, LLC

NPI Number 1063150043
LBN Legal business name KATMAI ONCOLOGY GROUP, LLC
Authorized official SHANNON SMILEY - (PARTNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/20/2022
Last updated 12/24/2025 - About 5 months 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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