Individual
KENDRA MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MOORE ST, FAIRBANKS, AK 99701-5761
(907) 371-3473
Mailing address
122 1ST AVE, FAIRBANKS, AK 99701-4871
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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