Kendel Bormann, PA-C

NPI 1508168733 · on the registry since 2010

Practice

Address: 1606 23rd Ave
Fairbanks, AK 99701
Phone: (907) 455-4567
Fax: (907) 458-1580
Organisation at this address: Interior Community Health Center
Interior Community Health Center
Laboratory Corporation Of America
Interior Community Health Center Dental Prog
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: AK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-11-19

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