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KIM THIELE, DO, PC
NPI 1972894418
Clinic/Center - Primary Care in Kenai, AK

Active since May 02, 2011
105 TRADING BAY DR, SUITE 105, KENAI, AK 99611(907) 242-9000 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Thiele, Do, Pc NPPES

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

KIM THIELE, DO, PC (NPI 1972894418) is a healthcare organization registered as a primary care in Kenai, Alaska and active in the NPI registry since May 2011. The organization lists Kim E Thiele, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1972894418
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKIM THIELE, DO, PC
Location Address105 TRADING BAY DR, SUITE 105Kenai, AK 99611-7717
Mailing Address105 Trading Bay Dr, Suite 105Kenai, AK 99611-7717 · (907) 242-9000
Phone(907) 242-9000
Organization SubpartNo
Authorized OfficialKim E ThieleExecutive Officer · (907) 242-9000
Enumeration DateMay 2, 2011
✔ NPI 1972894418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AK · 4125
105 TRADING BAY DR, Kenai, AK 99611
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Other Identifiers 2

Medicare UPIND76005
MedicaidMD41253AK

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 Kim Thiele, Do, PC's NPI number?

The NPI number for Kim Thiele, Do, PC is 1972894418. It was assigned to this organization in the NPPES registry on May 2, 2011.

Where is Kim Thiele, Do, PC located?

Kim Thiele, Do, PC is located at 105 Trading Bay Dr Suite 105, Kenai, AK 99611. The listed phone number is (907) 242-9000.

What is Kim Thiele, Do, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kim Thiele, Do, PC was last updated on May 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.