| NPI | 1821120486 |
|---|---|
| Doing Business As | KIC TRIBAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | WENDY ROSS Rcm 907-228-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 78545) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 78545) |
| 251S00000X (Licence: AK 78545) | |
| 261QD0000X Clinic/Center, Dental (Licence: AK 78545) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-04-28 |