Individual
KEVIN LEE LANKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
543 3RD AVE, SUITE 202, FAIRBANKS, AK 99701-4732
(907) 456-1620
(907) 456-1614
Mailing address
543 3RD AVE, SUITE 202, FAIRBANKS, AK 99701-4732
(907) 456-1620
(907) 456-1614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
474
AK
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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