Individual
MICHAEL IAN KORTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(907) 474-0890
Mailing address
540 10TH AVE # B, FAIRBANKS, AK 99701-4903
(907) 750-9837
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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