Katmai Oncology Group, Llc, NPI 1063150043
Hematology & Oncology Physician in Eagle River, AK, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063150043
NPI Entity Type Organization
Provider Name Katmai Oncology Group, Llc
Subpart of Organization Katmai Oncology Group, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 12001 Business Blvd Ste 3c, Eagle River, AK, US
Provider Mailing Address Po Box 74900, Chicago, IL, US, 606754900
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DO Theodore Y Kim
Official Position PARTNER
Phone 907-677-5826

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Other Organization Name

Eagle River
Doing Business As

Business Address

Katmai Oncology Group, Llc
12001 Business Blvd Ste 3c

Eagle River, AK, US

Phone: 907-562-0321
Fax: 907-562-2683

Mailing Address

Katmai Oncology Group, Llc
Po Box 74900
Chicago, IL, US
ZIP 606754900
Phone: 602-441-9520
Fax: 602-441-9524

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Michelle Kuehn

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