Individual
KELDRICK KEARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 987-5521
Mailing address
1513 LIATRIS LN, NORTH POLE, AK 99705-5082
(907) 987-5521
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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