Individual
KEVIN L LUPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 CORDOVA ST, ANCHORAGE, AK 99501-3717
(907) 222-7612
Mailing address
800 CORDOVA ST, ANCHORAGE, AK 99501-3717
(907) 222-7612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
116
AK
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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