Alice Raven Kenneally, PA-C
NPI #1295565471 in Palmer, Alaska
Provider Information
- NPI Number
- 1295565471
- Entity Type
- Individual
- Name
- Alice Raven Kenneally, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 3, 2024
- Last Updated
- Apr 30, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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