Search › Alaska › 101YA0400X
Ryan Pennington
NPI 1336000306 · on the registry since 2025
Practice
- Address
- 710 3rd Ave
Fairbanks, AK 99701 - Phone
- (907) 452-4222
- Fax
- (907) 452-8176
- Organisation at this address
- Interior Aids Association
Interior Aids AssociationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 104100000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-19
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