Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 102575 | AK |
N | 2080P0205X | Pediatric Endocrinologist | 35-086582 | OH |
NPI | 1497788921 |
---|---|
Provider Name | Cydney L Fenton |
First Address | Portland, OR 97208-4105 |
Second Address | Anchorage, AK 99507-4686 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 26/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1633473 | (05) | AK |