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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THEODORE YNGVE KORSGREN III, LPN

Active Sole Proprietor

MR. THEODORE YNGVE KORSGREN III, LPN is a Licensed Practical Nurse healthcare provider located in FAIRBANKS, Alaska. NPI 1497942585 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · FAIRBANKS, AK

Registration Details

NPI Number
1497942585
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2007 (18.685114226008 yrs)
Last Updated
Dec 3, 2012
License
5364 (AK)
Sole Proprietor
Yes

Practice Information

Address
1717 W. COWLES ST.
FAIRBANKS, AK, 997015903
Browse AK providers · Browse ZIP 99701
Phone
9074516682
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in FAIRBANKS, AK

Name Credential NPI
SHIRLEY M COLLINS LPN 1205020112
MS. CHARLENE B. BOWSER LPN 1215121108
CARL EUGENE JOHNSON LPN 1831383520
MR. DANIEL WARD DENTON 1285821736
MR. JAMIE DEWAYNE NOBLE LPN 1255511895
MRS. CHRISTINE GOCHIS LPN 1376729384
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.