SearchAlaska171M00000X

Edwin Kinisu, MBA

NPI 1417829219 · on the registry since 2025 · sole proprietor

Practice

Address
145 Rusty Allen Pl
Anchorage, AK 99504
Phone
(907) 227-9688

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-22

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