Individual
KENNETH D BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-6943
Mailing address
1010 8TH AVE, FAIRBANKS, AK 99701-4437
(907) 854-3391
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
12/28/2022
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