ALASKIN DERMATOLOGY LLC
NPI 1790423135
Dermatology in Anchorage, AK

Q: What is Alaskin Dermatology LLC's NPI number?

The NPI number for Alaskin Dermatology LLC is 1790423135. It was assigned to this organization in the NPPES registry on May 25, 2022.

Q: What is Alaskin Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since May 25, 2022CLIA 02D2262721 · Microscopy

12350 INDUSTRY WAY STE 110, ANCHORAGE, AK 99515(907) 206-9114(907) 206-7009 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Alaskin Dermatology Llc NPPES

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

ALASKIN DERMATOLOGY LLC (NPI 1790423135) is a healthcare organization registered as a dermatology in Anchorage, Alaska and active in the NPI registry since May 2022. The organization holds a CLIA Microscopy certificate valid through June 15, 2028 and lists Kimberly Kinnebrew, Owner, as its authorized official.

NPPES Registry Identity

NPI1790423135

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameALASKIN DERMATOLOGY LLC

Location Address12350 INDUSTRY WAY STE 110Anchorage, AK 99515-4301

Mailing Address1120 Huffman Rd Ste 24-591Anchorage, AK 99515-3516 · (907) 206-9114 · Fax (907) 206-7009

Phone(907) 206-9114

Fax(907) 206-7009

Organization SubpartNo

Authorized OfficialKimberly KinnebrewOwner · (907) 206-9114

Enumeration DateMay 25, 2022

NPPES CertifiedMay 25, 2022

✔ NPI 1790423135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

12350 INDUSTRY WAY STE 110, Anchorage, AK 99515

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D2262721

Alaskin Dermatology · Anchorage, AK

Active · expires Jun 15, 2028

CLIA Number02D2262721

Laboratory TypePractitioner Other

Certificate Effective DateJune 16, 2026

Certificate Expiration DateJune 15, 2028

Laboratory DirectorKimberly Kinnebrew

Laboratory Phone(907) 206-9114

Laboratory LocationAlaskin Dermatology12350 Industry Way, Ste 110, Anchorage, AK 99515

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

KIMBERLY JOY KINNEBREW PA-C

Physician Assistant (Medical)