NPI 1144927096
Katie's Way Fairbanks, LLC
Practice location
- Address
- 1275 Sadler Way STE 104, Fairbanks, AK 99701-3175
- Phone
- (907) 921-5511
- Fax
- (907) 921-3574
- Mailing address
- 1275 Sadler Way STE 102, Fairbanks, AK 99701-3175
Authorised official
- Name
- Kelly Rae Johnson
- Title
- Credentialing Director
- Phone
- (785) 320-6616
Registered specialties (15)
Behavioral Neurology & Neuropsychiatry Physician
Primary
Professional Counselor
Clinical Neuropsychologist
Psychologist
Cognitive & Behavioral Psychologist
Psychoanalysis Psychologist
Clinical Social Worker
Marriage & Family Therapist
Integrative Medicine Physician
Adult Medicine Physician
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Psychosomatic Medicine Physician
Psychiatry Physician
Pain Medicine (Psychiatry & Neurology) Physician
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1144927096
- Entity type
- Organization
- NPI issued
- 10 Feb 2023
- Record last updated
- 20 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.