KIMBERLY J WONDERLICH MD FAAD DERMATOLOGY LLC
NPI 1396124897
Dermatology in Fairbanks, AK

Active since May 29, 2015
2775 COLLEGE ROAD, FAIRBANKS, AK 99709(907) 456-1979 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly J Wonderlich Md Faad Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY J WONDERLICH MD FAAD DERMATOLOGY LLC (NPI 1396124897) is a healthcare organization registered as a dermatology in Fairbanks, Alaska and active in the NPI registry since May 2015. The organization lists Kimberly Wonderlich, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1396124897
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKIMBERLY J WONDERLICH MD FAAD DERMATOLOGY LLC
Location Address2775 COLLEGE ROADFairbanks, AK 99709
Mailing Address2775 College RdFairbanks, AK 99709-3751 · (907) 456-1979 · Fax (907) 456-1903
Organization SubpartNo
Authorized OfficialKimberly WonderlichManaging Member · (907) 456-1979
Enumeration DateMay 29, 2015
Last NPPES UpdateFebruary 13, 2019
NPI 1396124897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AK · 8102
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2775 COLLEGE ROAD, Fairbanks, AK 99709

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
2775 COLLEGE ROAD
FAIRBANKS, AK 99709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly J Wonderlich MD Faad Dermatology LLC's NPI number?

The NPI number for Kimberly J Wonderlich MD Faad Dermatology LLC is 1396124897. It was assigned to this organization in the NPPES registry on May 29, 2015.

Where is Kimberly J Wonderlich MD Faad Dermatology LLC located?

Kimberly J Wonderlich MD Faad Dermatology LLC is located at 2775 College Road, Fairbanks, AK 99709. The listed phone number is (907) 456-1979.

What is Kimberly J Wonderlich MD Faad Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Kimberly J Wonderlich MD Faad Dermatology LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kimberly J Wonderlich MD Faad Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly J Wonderlich MD Faad Dermatology LLC was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.