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Shane Udelhoven, PA-C
Medical Physician Assistant in Soldotna, Alaska
NPI 1124355359

Shane Udelhoven is a Medical Physician Assistant based in Soldotna, AK and is specialized in Medical. Shane Udelhoven practices in Soldotna, AK and has the professional credentials of PA-C. The NPI Number for Shane Udelhoven is 1124355359 and holds a License No. (Alaska).

The current practice location address for Shane Udelhoven is 35670 Kenai Spur Hwy Ste 103A, Soldotna, AK and can be reached out via phone at 907-260-1655 and via fax at 980-495-8870.

Location: 35670 Kenai Spur Hwy Ste 103A, Soldotna, AK, 99669-9155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124355359
Provider Name
Shane Udelhoven
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
35670 Kenai Spur Hwy Ste 103A, Soldotna, AK, 99669-9155
Phone Number
907-260-1655
Fax Number
980-495-8870
Provider Enumeration Date
11/09/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1572984 05 AK
institution
Provider Business Practice Location Address Details
Address
35670 Kenai Spur Hwy Ste 103A
City
Soldotna
State
Alaska
Zip
99669-7649
Phone Number
907-260-1655
Fax Number
980-495-8870
person
Provider Business Mailing Address Details
Address
35670 Kenai Spur Hwy Ste 103A
City
Soldotna
State
Alaska
Zip
99669-7649
Phone Number
907-260-1655
Fax Number
980-495-8870
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PADA893 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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