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Contact Information

NICOLE A KANDRA, ATC
4076 NEELY RD
FORT WAINWRIGHT, AK99703
 Phone: 907-361-5172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for NICOLE A KANDRA · (Female)

NPI # 1922478593
Status Active
Credentials ATC
Entity Individual
Enumeration date 09/25/2015
Last updated 04/08/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • AK License # 251410
  • HI License # 251
  • OR License # AT-AT-10197732
  • WA License # A160804654
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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