=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508793613
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KLONDY KARINA CANALES RMA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2026
-----------------------------------------------------
Last Update Date | 05/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 350 14TH AVE
-----------------------------------------------------
City | SKAGWAY
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99840
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-983-2255
-----------------------------------------------------
Fax | 907-983-2793
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 19
-----------------------------------------------------
City | SKAGWAY
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99840-0019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-983-2255
-----------------------------------------------------
Fax | 907-983-2793
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | AK
-----------------------------------------------------