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Bountiful — NPI 1114736899, Ketchikan, AK | NPI Central

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OrganizationActive

Bountiful

NPI 1114736899 · Meals Provider · Ketchikan, AK

Provider details

NPI number: 1114736899
Entity type: Organization
Primary specialty: Meals ProviderOther Service Providers
Authorized official: Kevin Hall, Owner

Practice location

25 Jefferson Way Ste 102

Ketchikan, AK 99901-5953

Phone: (201) 259-0289

Fax: (973) 215-2052

More AK providers

Mailing address

25 Jefferson Way Ste 102

Ketchikan, AK 99901-5953

Registry dates

Enumerated: 2025-01-06
Last updated: 2025-01-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.