Krystofer Ceryn Fenn

NPI #1548866874 in Kenai, Alaska

Provider Information

NPI Number: 1548866874
Entity Type: Individual
Name: Krystofer Ceryn Fenn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 10, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 508 UPLAND ST
City: Kenai
State: Alaska
ZIP Code: 99611-8026
Phone: (907) 335-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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