NPI 1114290350

Misty Rose Keith

Practitioner Other Technician Fairbanks, AK

Practice location

Address: 110 2nd Ave, Fairbanks, AK 99701-4809
Phone: (907) 452-7946
Fax: (907) 452-7942
Mailing address: 1116 27th Ave APT 1, Fairbanks, AK 99701-5611

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Alaska →

Registry record

NPI: 1114290350
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2012
Record last updated: 20 Feb 2012

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.