MEDICARE: KINDAE DERMATOLOGY AND AESTHETICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207N00000X	Dermatology Physician
2	207NS0135X	Procedural Dermatology Physician
3	207ND0101X	MOHS-Micrographic Surgery Physician

General Provider Information

NPI Number	:	1952143562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDAE DERMATOLOGY AND AESTHETICS LLC

Provider Business Mailing Address
First Line	:	1120 HUFFMAN RD STE 24-401
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-3516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2741 DEBARR RD STE 215
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-2978
Country	:	US
Telephone Number	:	706-218-1724
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RECHELLE TULL
Credential	:
Telephone Number	:	706-123-4567

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	03/24/2026

Similar Medicare Providers

1679008767 — RECHELLE TULL MD
Practice Location Address:

2741 DEBARR RD STE 215
ANCHORAGE, AK
99508-2978

Practice Phone: 907-865-8455
Practice Fax:

1891741393 — JANA K COLE MD
Practice Location Address:

2741 DEBARR RD STE C215
ANCHORAGE, AK
99508-2978

Practice Phone: 907-563-2002
Practice Fax: 907-562-7628

1003831488 — MICHAEL D MANUEL MD
Practice Location Address:

2741 DEBARR RD STE C215
ANCHORAGE, AK
99508-2978

Practice Phone: 907-563-2002
Practice Fax: 907-562-7628

1649380767 — DANIEL WILLIAM SUVER MD
Practice Location Address:

2741 DEBARR RD , SUITE C215 PLASTIC SURGEONS OF ALASKA,
ANCHORAGE, AK
99508-2978

Practice Phone: 907-563-2002
Practice Fax:

1871738674 — PLASTIC SURGEONS OF ALASKA, LLC
Practice Location Address:

2741 DEBARR RD STE C215
ANCHORAGE, AK
99508-2978

Practice Phone: 907-563-2002
Practice Fax:

1669819116 — JAMES LEE MD
Practice Location Address:

2741 DEBARR RD STE 215
ANCHORAGE, AK
99508-2978

Practice Phone: 907-563-2002
Practice Fax:

Directions to “KINDAE DERMATOLOGY AND AESTHETICS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.