Eugene Kalmakoff, CHA/LL
Individual provider Active NPI Counselor · Perryville, AK
NPI 1093483463 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1093483463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 21-1646-I (AK)
- Practice address
- 100 1St Ave
Perryville, AK 99648-0061 - Phone
- (907) 853-4254
- NPI assigned
- Sep 1, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-1646-I | AK | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 21-1646-I | AK | Yes |
Addresses
Primary practice location
100 1St Ave
Perryville, AK 99648-0061
Mailing address
PO Box 61
Perryville, AK 99648-0061
Phone (907) 853-4254
Other providers in Perryville, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.