IndividualActive
Laurence Keim, PA-C
NPI 1043764939 · Physician Assistant · Fort Wainwright, AK
Provider details
- NPI number
- 1043764939
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1060 Gaffney Rd
Fort Wainwright, AK 99703-5002
Phone: (907) 353-4103
Approximate (ZIP-level) locationGet directions
Mailing address
1060 Gaffney Rd
Fort Wainwright, AK 99703-5002
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2016-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.