IndividualActive
Michael Kortness
NPI 1518622018 · Technician/Technologist · Fairbanks, AK
Provider details
- NPI number
- 1518622018
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3101 Lathrop St
Fairbanks, AK 99701-7426
Phone: (907) 474-0890
Approximate (ZIP-level) locationGet directions
Mailing address
540 10th Ave # B
Fairbanks, AK 99701-4903
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.