Kenai Peninsula Anesthesia, LLC

Organization Active NPI Anesthesiology Physician · Soldotna, AK

NPI 1164535993 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1164535993
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
KENAI PENINSULA ANESTHESIA, LLC
Practice address
250 Hospital PL
Soldotna, AK 99669-7559
Phone
(907) 714-4483
Fax
(907) 714-4686
NPI assigned
Aug 16, 2006
Organization subpart
No

Authorized official

Name
Timothy A Gleason, D.O.
Title
Owner / Physician
Phone
(907) 714-4483

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

250 Hospital PL
Soldotna, AK 99669-7559

Mailing address

PO Box 241769
Anchorage, AK 99524-1769
Phone (907) 770-2301

Other providers in Soldotna, AK

All providers in Soldotna, AK · Anesthesiology Physician in Alaska

Sources for this page

Verify at the official NPI Registry.