Kaleb Hatfield
Individual provider Active NPI Dental Hygienist · Eielson Afb, AK
NPI 1891395802 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1891395802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice address
- 2630 Central Ave
Eielson Afb, AK 99702-2301 - Phone
- (907) 377-6767
- NPI assigned
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes |
Addresses
Primary practice location
2630 Central Ave
Eielson Afb, AK 99702-2301
Mailing address
2630 Central Ave
Eielson Afb, AK 99702-2301
Phone (907) 377-6767
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kaleb.w.hatfield.mil@mail.mil |
Other providers in Eielson Afb, AK
- Matthew Gray
- Brendan James Hall
- John Frederick Hamilton Jr.
- Nathan Hamilton
- Whitney Neal Hasbrouck
- Charles W. Houlding
- Dennis Huff
- Elias N Hydrick
- Nichole Kilinc
- Hannah Laurel Kopchinski
All providers in Eielson Afb, AK · Dental Hygienist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.