Healthcare Provider Details

I. General information

NPI: 1144651944
Provider Name (Legal Business Name): KACIE TEMPEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KACIE ENGLE PA-C

II. Dates (important events)

Enumeration Date: 12/03/2013
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3841 PIPER ST STE T4-054
ANCHORAGE AK
99508-4673
US

IV. Provider business mailing address

3841 PIPER ST STE T4-054
ANCHORAGE AK
99508-4673
US

V. Phone/Fax

Practice location:
  • Phone: 907-562-6228
  • Fax: 907-562-6868
Mailing address:
  • Phone: 907-562-6228
  • Fax: 907-562-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2293
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2293
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberPADA1154
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: