K-BEACH MEDICAL INC. NPI 1376066993

NPI Information

  • NPI: 1376066993
  • Provider Name: K-BEACH MEDICAL INC.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 02D2140751
  • Address: 43335 KALIFORNSKY BEACH RD STE 18
    SOLDOTNA, AK
    ZIP 99669
  • Phone: (907) 953-8040

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NPI Details

K-BEACH MEDICAL INC. is a family nurse practitioner in Soldotna, AK. K-BEACH MEDICAL INC. NPI is 1376066993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

43335 KALIFORNSKY BEACH RD STE 18
SOLDOTNA, AK
ZIP 99669-250
Phone: (907) 953-8040

The provider's authorized official is Robert Mcrorie .
The authorized official title is President and has the following contact phone number (907) 953-8040.

The CLIA number assigned to this NPI record is 02D2140751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2017 and was last updated on 7/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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