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

Ketchikan Emergency Physicians, LLC

Organization Emergency Medicine Physician · NPI 1801690854

Ketchikan Emergency Physicians, LLC is an Emergency Medicine Physician in Ketchikan, Alaska. Registered with an NPI since 2025.

In the registry since
2025
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

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone: (907) 225-5171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1801690854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Vp, Credentialing · (770) 874-5400
NPI enumeratedApril 1, 2025
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834

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