Individual
DR. KENLEY D MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1231 W NORTHERN LIGHTS BLVD STE 623, ANCHORAGE, AK 99503-2337
(415) 375-0607
Mailing address
1231 W NORTHERN LIGHTS BLVD STE 623, ANCHORAGE, AK 99503-2337
(415) 375-0607
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
1547
AK
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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