NPI | 1013797190 |
---|---|
Doing Business As | KSP HEALTH - ALASKA LLC |
Entity Type | Organization |
Authorized Contact | MUTHUKUMAR VELLAICHAMY Owner 234-260-6212 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
207NP0225X Dermatology, Pediatric Dermatology | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
2080P0202X Pediatrics, Pediatric Cardiology | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
2080P0205X Pediatrics, Pediatric Endocrinology | |
2080P0206X Pediatrics, Pediatric Gastroenterology | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
Enumeration Date | 2023-10-05 |
Last Update Date | 2023-10-05 |