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

Ksp Health - Alaska LLC

Organization Pediatric Dermatology Physician · NPI 1013797190

Ksp Health - Alaska LLC provides Pediatric Dermatology Physician services in Anchorage, Alaska. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
12
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

821 N St Ste 102
Anchorage, AK 99501
Phone: (234) 260-6212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X
Pediatric Allergy/Immunology Physician Taxonomy 2080P0201X
Pediatric Cardiology Physician Taxonomy 2080P0202X
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X
Pediatric Endocrinology Physician Taxonomy 2080P0205X
Pediatric Gastroenterology Physician Taxonomy 2080P0206X
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1013797190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muthukumar Vellaichamy — Owner · (234) 260-6212
Other names Ksp Health - Alaska Llc
NPI enumeratedOctober 5, 2023
Last updated in NPPESOctober 5, 2023
Certification dateOctober 3, 2023
Mailing address6446 E Central Ave Ste 183, Wichita, KS 67206-1923

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