OrganizationActive
Kodiak Board Certified Radiology, LLC
NPI 1295032910 · Diagnostic Radiology Physician · Kodiak, AK
Provider details
- NPI number
- 1295032910
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kay Bias, Executive Director(907) 565-8005
- License
- 6152 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 486-9581
Fax: (907) 486-9523
Street-level locationGet directions
Mailing address
3427 E Tudor Rd Ste a
Anchorage, AK 99507-1282
Registry dates
- Enumerated
- 2011-02-15
- Last updated
- 2011-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.