Kendrick David Blais, D.O.
Family Medicine in Fairbanks, AK. Individual provider (NPI-1).
NPI number1497771109
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1497771109
- Entity type
- Individual (NPI-1)
- Name
- Kendrick David Blais
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2006
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | AA2242 | AK | Yes |
Practice location
1867 Airport Way Ste 140aFairbanks, AK 99701-4055
Phone 907-457-9355 · Fax 907-457-9356
Mailing address
1867 Airport Way Ste 140aFairbanks, AK 99701-4055
Phone 907-457-9355 · Fax 907-457-9356
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