Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY JANNE WONDERLICH, M.D.
Active Sole ProprietorDR. KIMBERLY JANNE WONDERLICH, M.D. is a Dermatology healthcare provider located in FAIRBANKS, Alaska. NPI 1346211505 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FAIRBANKS, AK
Registration Details
- NPI Number
- 1346211505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2006 (20.56775981619 yrs)
- Last Updated
- Sep 14, 2018
- Licenses
-
23558 (NE)8102 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2775 COLLEGE ROADFAIRBANKS, AK, 99709Browse AK providers · Browse ZIP 99709
- Phone
- 9074561979
- Fax
- 9074561903
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.