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 is a Pediatric Dermatology Physician 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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