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PENNY K PUHAK ETC
NPI 1689711715
Family Medicine in Kodiak, AK

Active since January 30, 2007
104 CENTER AVE STE 100, KODIAK, AK 99615(907) 486-4183(907) 486-4233 Get Directions Write a Review

NPPES record last updated: July 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penny K Puhak Etc NPPES

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

PENNY K PUHAK ETC (NPI 1689711715) is an individual family medicine provider in Kodiak, Alaska, licensed in Alaska (1842) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1689711715
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePENNY K PUHAKCredential: ETC
Location Address104 CENTER AVE STE 100Kodiak, AK 99615-6393
Mailing Address104 Center Ave Ste 100Kodiak, AK 99615-6393 · (907) 486-4183 · Fax (907) 486-4233
Phone(907) 486-4183
Fax(907) 486-4233
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 27, 2007
✔ NPI 1689711715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 1842
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.
104 CENTER AVE STE 100, Kodiak, AK 99615
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Other Identifiers 4

Medicare UPINQ77839AK
Medicare PIN160979AK
MedicaidGR0124AK
MedicaidMD1532AK

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN CREELMAN M.D
Family Medicine
104 CENTER AVE STE 100
KODIAK, AK 99615
Kodiak Island Borough (907) 486-4183
DORIANNE EMILY WILLIAMS FNP
Nurse Practitioner (Family)
104 CENTER AVE STE 100
KODIAK, AK 99615
Kodiak Island Borough (907) 486-4183

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 Penny Puhak's NPI number?

The NPI number for Penny Puhak is 1689711715. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Penny Puhak located?

Penny Puhak practices at 104 Center Ave Ste 100, Kodiak, AK 99615. The listed phone number is (907) 486-4183.

What is Penny Puhak'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 Penny Puhak was last updated on July 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.