OrganizationActive
Kim Thiele, DO, PC
NPI 1972894418 · Primary Care Clinic/Center · Kenai, AK
Provider details
- NPI number
- 1972894418
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kim Thiele, Executive Officer(907) 242-9000
- License
- 4125 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
105 Trading Bay Dr
Suite 105
Kenai, AK 99611-7717
Phone: (907) 242-9000
Approximate (ZIP-level) locationGet directions
Mailing address
105 Trading Bay Dr
Kenai, AK 99611-7717
Registry dates
- Enumerated
- 2011-05-02
- Last updated
- 2011-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.