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NPI Code Detail

MEDICARE: KATLYN MARIE O'FIHELLY

MEDICARE: KATLYN MARIE O'FIHELLY
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1093670705
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATLYN MARIE O'FIHELLY
Provider Business Mailing Address
First Line : PO BOX 1907
Second Line :
City : PALMER
State : AK
Zip : 99645-1907
Country : US
Telephone Number : 907-745-2634
Fax Number : 907-745-4897
Provider Business Practice Location Address
First Line : 11921 E PALMER WASILLA HWY
Second Line :
City : PALMER
State : AK
Zip : 99645-8833
Country : US
Telephone Number : 907-745-2634
Fax Number : 907-745-4897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ KATLYN MARIE O'FIHELLY ” Practice Location

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