Individual
DR. KENJI LEWIS TAKANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
673 MDG/JB ELMENDORF-RICHARDSON USAF, ANCHORAGE, AK 99506
(571) 326-7510
Mailing address
673 MDG/JB ELMENDORF-RICHARDSON USAF, 5955 ZEAMER AVE, ANCHORAGE, AK 99506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101239358
VA
Other
Enumeration date
10/11/2006
Last updated
08/28/2023
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