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1871089052
KENNETH D BREWER
FAIRBANKS, AK
NPI
1871089052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
133V00000X Dietitian, Registered
Enumeration Date
2018-07-10
Last Update Date
2022-12-28
Business Address
KENNETH D BREWER RDN
1650 COWLES ST
FAIRBANKS, AK 99701-5907
Phone number: 907-458-6943
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Mailing Address
KENNETH D BREWER RDN
1010 8TH AVE
FAIRBANKS, AK 99701-4437
Phone number: 907-854-3391
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