| NPI | 1225784762 |
|---|---|
| Doing Business As | KIANA CLINIC |
| Entity Type | Organization |
| Authorized Contact | GUS NELSON Provider Enrollment Specialist 907-442-3321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-03-15 |