Individual
MR. FRED WILLIAM KALT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3805 W 79TH AVE, APT. #1, ANCHORAGE, AK 99502-4317
(907) 903-1540
(907) 929-1791
Mailing address
3805 W 79TH AVE, APT. #1, ANCHORAGE, AK 99502-4317
(907) 903-1540
(907) 929-1791
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3973
AK
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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