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Kim Thiele, Do, Pc
Primary Care Clinic/Center in Kenai, Alaska
NPI 1972894418

Kim Thiele, Do, Pc is a Primary Care Clinic/Center based in Kenai, AK and is specialized in Primary Care. Kim Thiele, Do, Pc practices in Kenai, AK. The NPI Number for Kim Thiele, Do, Pc is 1972894418 and holds a License No. 4125 (Alaska).

The current practice location address for Kim Thiele, Do, Pc is 105 Trading Bay Dr, Kenai, AK and can be reached out via phone at 907-242-9000.

Location: 105 Trading Bay Dr, Kenai, AK, 99611-7717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972894418
Provider Name
Kim Thiele, Do, Pc
Credential
Provider Entity Type
Organization
Address
105 Trading Bay Dr, Kenai, AK, 99611-7717
Phone Number
907-242-9000
Fax Number
Provider Enumeration Date
05/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD41253 05 AK
institution
Provider Business Practice Location Address Details
Address
105 Trading Bay Dr
City
Kenai
State
Alaska
Zip
99611-7717
Phone Number
907-242-9000
Fax Number
person
Provider Business Mailing Address Details
Address
105 Trading Bay Dr
City
Kenai
State
Alaska
Zip
99611-7717
Phone Number
907-242-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
4125 (Alaska)
Definition
Definition to come...
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