| Doctor Name: | KRISTOFOR A SARGENT |
| NPI Number: | 1912133588 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 5181 |
| Business Practice Address: | 1201 E 36th Ave Anchorage, AK - 995084372 |
| Business Phone Number: | 9075629229 |
| Business Fax Number: | |
| Mailing Address: | Po Box 196276, ANCHORAGE |
| State: | AK |
| Postal Code: | 995196276 |
| Phone Number: | 9072126522 |
| Fax Number: | 9072126593 |
| NPI Enumeration Date: | 06/09/2009 |
| NPI Last Update Date: | 06/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 5181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |