| NPI | 1497002968 |
|---|---|
| Doing Business As | KENAI SPINE |
| Entity Type | Organization |
| Authorized Contact | NICOLE M ERB Practice Administrator 907-714-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AK 6826) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2021-11-30 |