Individual
ROY KENJI UYENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3260 PROVIDENCE DR STE 528, ANCHORAGE, AK 99508-4608
(907) 770-7213
(907) 770-7214
Mailing address
3260 PROVIDENCE DR STE 528, ANCHORAGE, AK 99508-4608
(907) 770-7213
(907) 770-7214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
152286
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2018
Last updated
12/06/2019
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