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INDEPENDENCE HEALTHCARE PRIMARY CARE
NPI 1124667498
Family Medicine in Kenai, AK

Active since January 03, 2020
100 TRADING BAY RD STE 8, KENAI, AK 99611(907) 283-4633(907) 262-0832 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2020, Jan 3, 2020 (2 updates tracked since 2020).

About Independence Healthcare Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE HEALTHCARE PRIMARY CARE (NPI 1124667498) is a healthcare organization registered as a family medicine in Kenai, Alaska and active in the NPI registry since January 2020. The organization lists Henry G Krull, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1124667498
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINDEPENDENCE HEALTHCARE PC
Location Address100 TRADING BAY RD STE 8Kenai, AK 99611-7786
Mailing Address291 N Fireweed StSoldotna, AK 99669-7540 · (907) 262-6454
Phone(907) 283-4633
Fax(907) 262-0832
Organization SubpartNo
Authorized OfficialHenry G KrullMd/owner · (907) 262-6454
Enumeration DateJanuary 3, 2020
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
✔ NPI 1124667498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 TRADING BAY RD STE 8, Kenai, AK 99611
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Other Names 1

Doing Business AsIndependence Healthcare Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independence Healthcare PC's NPI number?

The NPI number for Independence Healthcare PC is 1124667498. It was assigned to this organization in the NPPES registry on January 3, 2020. The provider is doing business as Independence Healthcare Primary Care.

Where is Independence Healthcare PC located?

Independence Healthcare PC is located at 100 Trading Bay Rd Ste 8, Kenai, AK 99611. The listed phone number is (907) 283-4633.

What is Independence Healthcare PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Independence Healthcare PC was last updated on February 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.