Individual
LINDA LAVERNE KEDDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
315 5TH AVE, FAIRBANKS, AK 99701-5025
(406) 579-7101
Mailing address
PO BOX 58621, FAIRBANKS, AK 99711-0621
(406) 579-7101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1373
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
30177
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0992259-NP
CO
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
201811259NP-PP
OR
Other
Enumeration date
08/22/2007
Last updated
08/04/2020
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