SHANE UDELHOVEN, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1124355359
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant - Medical | 363AM0700X | Yes | PADA893 (AK) |
Frequently Asked Questions
NPI 1124355359 is the National Provider Identifier for SHANE UDELHOVEN, PA-C, a Physician Assistant - Medical provider located in Soldotna, AK. This NPI was enumerated on November 9, 2009.
SHANE UDELHOVEN, PA-C practices at 35670 KENAI SPUR HWY STE 103A, Soldotna, AK 99669.
Quick Facts
- NPI
- 1124355359
- Type
- Individual
- Enumerated
- Nov 9, 2009
- Last Updated
- Feb 18, 2020
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