Search › Alaska › 124Q00000X
Kyra Mickelson, RDH
NPI 1699430041 · on the registry since 2021
Practice
- Address
- 4192 6th St Apt 4
Fort Wainwright, AK 99703 - Phone
- (928) 679-5898
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-01
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