Kenaitze Indian Tribe in Kenai - Clinical

Kenaitze Indian Tribe - NPI 1457491409

Kenaitze Indian Tribe is a Clinical in Kenai, Alaska. Kenaitze Indian Tribe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenaitze Indian Tribe is 1457491409. The last update date is 2020-08-22.

Kenaitze Indian Tribe's current location address is 110 N. Willow, Kenai, Alaska. You can contact this provider via phone number 9072836693 and fax number 9072837088. The mailing address for Kenaitze Indian Tribe is 110 N. Willow, Kenai, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenaitze Indian Tribe
Address 110 N. Willow, Kenai, Alaska
Phone Number 9072836693
Fax Number 9072837088
Sole Proprietor --
Credentials --

Authorized Official

Title or Position HUMAN SRVS
Authorized Official Name Yeoman Jennifer
Credentials LCSW
Telephone Number 9072836693

NPI Number Detail

NPI Number 1457491409
Provider Enumeration Date 2007-02-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 110 N. Willow
City Kenai
State Alaska (AK)
Post Code 99611
Phone Number 9072836693
Fax Number 9072837088

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MH2436 AK --
DA5032 AK --

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FAQs about Kenaitze Indian Tribe

What is the unique identification code assigned to Kenaitze Indian Tribe by the Centers for Medicare & Medicaid Services?

The Kenaitze Indian Tribe has been issued the NPI (National Provider Identifier) 1457491409. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kenaitze Indian Tribe's facilities are geographically located?

The facilities of Kenaitze Indian Tribe are physically situated at the following location: 110 N. Willow, Kenai, AK, 99611.

What is Kenaitze Indian Tribe's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenaitze Indian Tribe is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

When was the Kenaitze Indian Tribe's 1457491409 issued?

The Kenaitze Indian Tribe's 1457491409 was issued on 2007-02-07.

As of what date were the details related to Kenaitze Indian Tribe most recently updated or revised?

The information pertaining to Kenaitze Indian Tribe, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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