Individual
KENDRICK DAVID BLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1867 AIRPORT WAY STE 140A, FAIRBANKS, AK 99701-4055
(907) 457-9355
(907) 457-9356
Mailing address
1867 AIRPORT WAY STE 140A, FAIRBANKS, AK 99701-4055
(907) 457-9355
(907) 457-9356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA2242
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO43111
—
AK
Enumeration date
07/14/2006
Last updated
10/07/2022
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