Kernak, Ida J

Kernak, Ida J is an individual health care provider with primary practice located at 225 Eagle St , Anchorage AK 99501-2626. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Kernak, Ida J can be contacted via phone (907) 729-6550.

Contact Information

Primary practice address
225 Eagle St Anchorage AK 99501-2626
Phone: (907) 729-6550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Alaska

Profile Details

NPI number 1205173408
LBN Legal business name Kernak, Ida J
Credentials BHCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2013
Last updated Mar 11th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205173408 NPPES
Alaska MEDICAID 1020986

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