KEVIN ALEXANDER STICKNEY HALVORSEN

ANCHORAGE, AK
NPI1780340901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-11-11
Last Update Date2021-11-11
Business Address
KEVIN ALEXANDER STICKNEY HALVORSEN
1131 E INTERNATIONAL AIRPORT RD
ANCHORAGE, AK 99518-1408
Phone number: 907-276-2700
Mailing Address
KEVIN ALEXANDER STICKNEY HALVORSEN
925 E 46TH CT APT 1
ANCHORAGE, AK 99503-7519
Phone number: 907-952-8158