LEGACY HEALTH CLINIC, LLC is an adult health nurse practitioner in Ketchikan, AK. LEGACY HEALTH CLINIC, LLC NPI is 1942670005. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3524 TONGASS AVE
KETCHIKAN, AK
ZIP 99901-635
Phone: (907) 225-6355
The provider's authorized official is Helen R Klein .
The authorized official title is Owner and has the following contact phone number (907) 225-6355.
The CLIA number assigned to this NPI record is 02D2103660 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/1/2015 and was last updated on 10/1/2015.