Shane Udelhoven, PA-C

Individual Active
NPI 1124355359
Medical Physician Assistant Soldotna, AK

NPI 1124355359 belongs to Shane Udelhoven, PA-C, a medical physician assistant with a practice location in Soldotna, AK. The NPI was issued on November 9, 2009, and the record was last updated in NPPES on February 18, 2020. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PADA893 (AK)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice location

35670 Kenai Spur Hwy Ste 103A
Soldotna, AK 99669-7649
Phone: (907) 260-1655

Local context

Active NPPES records list 8 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 5 of them within 10 miles.

The same primary taxonomy is listed by 256 in Alaska and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shane Udelhoven
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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