Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetica Medical Spa LLC

Organization Dermatology Physician · NPI 1154363752

Aesthetica Medical Spa LLC provides Dermatology Physician services in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 W Dimond Blvd Ste 104
Anchorage, AK 99515-1907
Phone: (907) 562-2275
Fax: (907) 563-7929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 432761 (AK)

Record details

NPI number1154363752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Millen — Owner · (907) 562-2275
Other names Alaska Dermatology; Alaska Dermatology
NPI enumeratedJune 11, 2006
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing address200 West 34th Avenue Pmb 1008, Anchorage, AK 99503-5650

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