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 is a Dermatology Physician 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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