Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kendrick David Blais, DO

Individual provider Family Medicine Physician · NPI 1497771109

Kendrick David Blais, DO is a Family Practice in Fairbanks, Alaska. Qualified in 1980, 46 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
46
Licensed in
AK
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1867 Airport Way Ste 140A
Fairbanks, AK 99701-4055
Phone: (907) 457-9355
Fax: (907) 457-9356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence AA2242 (AK)

Record details

NPI number1497771109
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 14, 2006
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address1867 Airport Way Ste 140a, Fairbanks, AK 99701-4055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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