NPI 1255602454

Kathy Landefeld

Practitioner Contractor Fairbanks, AK

Practice location

Address: 1825 Marika Rd, Fairbanks, AK 99709-5521
Phone: (907) 474-0890

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1255602454
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2012
Record last updated: 19 Jan 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.