KENNETH D BREWER

FAIRBANKS, AK
NPI1871089052
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies133V00000X Dietitian, Registered
Enumeration Date2018-07-10
Last Update Date2022-12-28
Business Address
KENNETH D BREWER RDN
1650 COWLES ST
FAIRBANKS, AK 99701-5907
Phone number: 907-458-6943
Mailing Address
KENNETH D BREWER RDN
1010 8TH AVE
FAIRBANKS, AK 99701-4437
Phone number: 907-854-3391