Search › Alaska › 1223S0112X
Kenneth Wyman
NPI 1427222405 · on the registry since 2008
Practice
- Address
- 1225 Well St
Fairbanks, AK 99701 - Phone
- (907) 456-6850
- Fax
- (907) 456-7510
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 122300000X
1223P0221X - Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-21
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