IndividualActive
Kyra Mickelson, RDH
NPI 1699430041 · Dental Hygienist · Fort Wainwright, AK
Provider details
- NPI number
- 1699430041
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 147040 (AK)
Specialties & taxonomies
Dental Providers
Practice location
4192 6th St Apt 4
Fort Wainwright, AK 99703-1260
Phone: (928) 679-5898
Approximate (ZIP-level) locationGet directions
Mailing address
4192 6th St Apt 4
Fort Wainwright, AK 99703-1260
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.