SearchAlaska363AM0700X

Shane Udelhoven, PA-C

NPI 1124355359 · on the registry since 2009

Practice

Address
35670 Kenai Spur Hwy Ste 103a
Soldotna, AK 99669
Phone
(907) 260-1655
Fax
(980) 495-8870
Organisation at this address
Theodore Barton
Sound Imaging, Llc
Ravencrest Medical Llc
Ravencrest Medical Llc
Denali Asthma & Pulmonary
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
390200000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska