OrganizationActive
Kodiak Island Medical Associates LLC
NPI 1770529794 · Multi-Specialty Clinic/Center · Kodiak, AK
Provider details
- NPI number
- 1770529794
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mark Withrow, Owner
Practice location
1818 E Rezanof Dr
Kodiak, AK 99615
Phone: (907) 486-6065
Fax: (907) 486-2248
Mailing address
Po Box 8689
Kodiak, AK 99615-8689
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2017-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.