Search › Alaska › 101YA0400X
Kathleen Demientieff, T.C., C.D.C.1
NPI 1215187505 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1027 Evergreen St
Fairbanks, AK 99709 - Phone
- (907) 451-8164
- Organisation at this address
- Fairbanks Native Association
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska