KJT, LLC

NPI: 1114800562 · Organization · Active

Primary Specialty

Multi-Specialty Clinic/Center
Clinic/Center — Multi-Specialty

Practice Location

1314 SHUROS DR
FAIRBANKS, AK 99709-6740 Map ↗
Phone: 307-267-6150
Fax: 833-986-3605

Mailing Address

560 GRANITE PEAK DR APT 102
CASPER, WY 82609-4522 Map ↗
Phone: 307-267-6150
Fax: 833-986-3605

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Multi-Specialty Clinic/Center Primary — Multi-Specialty
  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Clinic/Center
  • Health Service Clinic/Center — Health Service
  • Pain Clinic/Center — Pain
  • Physical Therapy Clinic/Center — Physical Therapy

NPI Registration

Enumerated: 2025-07-30

Last CMS Update: 2025-07-30