Individual provider · Type 1 NPI

Kyndall Ampy Blackburn

Peer Specialist · Fairbanks, AK

NPI number 1417875436 Active

Practice location

909 Cushman St Ste 103
Fairbanks, AK 99701-4668

Call (907) 456-4610 Map

Mailing address

PO Box 73189
Fairbanks, AK 99707-3189

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1417875436

Kyndall Ampy Blackburn's National Provider Identifier is 1417875436, issued on Jul 7, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 7, 2026.