KYRA MICKELSON, RDH
Dental Hygienist
Active
Individual
NPI: 1699430041
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes | 147040 (AK) |
Frequently Asked Questions
NPI 1699430041 is the National Provider Identifier for KYRA MICKELSON, RDH, a Dental Hygienist provider located in Fort Wainwright, AK. This NPI was enumerated on November 1, 2021.
KYRA MICKELSON, RDH practices at 4192 6TH ST APT 4, Fort Wainwright, AK 99703.
Quick Facts
- NPI
- 1699430041
- Type
- Individual
- Enumerated
- Nov 1, 2021
- Last Updated
- Nov 1, 2021
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