MR. Kenneth T Wallenfelsz, ARNP

NPI #1457649998 in Ketchikan, Alaska

Provider Information

NPI Number
1457649998
Entity Type
Individual
Name
MR. Kenneth T Wallenfelsz, ARNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
ARNP
Enumeration Date
Jul 19, 2011
Last Updated
Dec 16, 2024

Practice Location

Address
3528 TONGASS AVE
State
Alaska
ZIP Code
99901-5635
Phone
(907) 220-4447

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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