Individual
KINZEA GRACE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 LATHROP ST STE 222, FAIRBANKS, AK 99701-5942
(907) 456-8191
Mailing address
1919 LATHROP ST STE 222, FAIRBANKS, AK 99701-5942
(907) 456-8191
(907) 456-8223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
184356
AK
Other
Enumeration date
07/19/2021
Last updated
11/23/2021
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