institution
R Lynn Carlson Md Pc Medicenter
Medical Physician Assistant in Nikiski, Alaska
NPI 1215385794

R Lynn Carlson Md Pc Medicenter is a Medical Physician Assistant based in Kenai, AK and is specialized in Medical. R Lynn Carlson Md Pc Medicenter practices in Nikiski, AK. The NPI Number for R Lynn Carlson Md Pc Medicenter is 1215385794 and holds a License No. PADA895 (Alaska).

The current practice location address for R Lynn Carlson Md Pc Medicenter is 43783 Kenai Spur Hwy, Nikiski, AK and can be reached out via phone at 907-283-9116 and via fax at 907-283-9122. You can also correspond with R Lynn Carlson Md Pc Medicenter through the mailing address at PO BOX 240, KENAI, AK - 99611-0240 (mailing address contact number: 907-283-9118).

Location: 43783 Kenai Spur Hwy, Nikiski, AK, 99611-0240
institution
Provider Profile Details
NPI Number
1215385794
Provider Name
R Lynn Carlson Md Pc Medicenter
Credential
Provider Entity Type
Organization
Address
43783 Kenai Spur Hwy, Nikiski, AK, 99611-0240
Phone Number
907-283-9116
Fax Number
907-283-9122
Provider Enumeration Date
05/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1012124 05 AK
1020379 05 AK
1625263 05 AK
1008129 05 AK
1010950 05 AK
1584686 05 AK
institution
Provider Business Practice Location Address Details
Address
43783 Kenai Spur Hwy
City
State
Zip
99611-9708
Phone Number
907-283-9116
Fax Number
907-283-9122
person
Provider Business Mailing Address Details
Address
Po Box 240
City
State
Zip
99611-0240
Phone Number
907-283-9118
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PADA895 (Alaska)
Definition
Definition to come...
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