Organization · Type 2 NPI

Kjt, LLC

Multi-Specialty Clinic/Center · Fairbanks, AK

NPI number 1114800562 Active

Practice location

1314 Shuros Dr
Fairbanks, AK 99709-6740

Call (307) 267-6150 Map

Fax (833) 986-3605

Mailing address

560 Granite Peak Dr Apt 102
Casper, WY 82609-4522

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000XNone listed
Clinic/Center 261Q00000XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Physical Therapy Clinic/Center 261QP2000XNone listed
Pain Clinic/Center 261QP3300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1114800562

Kjt, LLC's National Provider Identifier is 1114800562, issued on Jul 30, 2025. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 30, 2025.