OrganizationActive
Aesthetica Medical Spa LLC
NPI 1154363752 · Dermatology Physician · Anchorage, AK
Provider details
- NPI number
- 1154363752
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Millen, Owner(907) 562-2275
- License
- 432761 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
135 W Dimond Blvd Ste 104
Anchorage, AK 99515-1907
Phone: (907) 562-2275
Fax: (907) 563-7929
Approximate (ZIP-level) locationGet directions
Mailing address
200 West 34th Avenue Pmb 1008
Anchorage, AK 99503-5650
Other names (DBA / former)
- Doing business as
- Alaska Dermatology
- Doing business as
- Alaska Dermatology
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.