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

Kenai Family Practice LLC

Organization Family Medicine Physician · NPI 1255528733

Kenai Family Practice LLC provides Family Medicine Physician services in Kenai, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007
Specialties on file
3
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 Bidarka St Ste 101
Kenai, AK 99611-7741 Not confirmed with CMS for 18 years — call before visiting
Phone: (907) 335-0034
Fax: (907) 335-0064
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4040 (AK)
Physician Assistant Taxonomy 363A00000X · Licence 725 (AK)
Nurse Practitioner Taxonomy 363L00000X · Licence 175 (AK)

Record details

NPI number1255528733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Elliott — Owner · (907) 335-0034
NPI enumeratedSeptember 28, 2007
Last updated in NPPESJune 9, 2008
Mailing address135 Bidarka St, Suite 101, Kenai, AK 99611-7741

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