KENNETH T WALLENFELSZ

KETCHIKAN, AK
NPI1457649998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AK  NURU1255)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WA  AP60207225)
363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60207225)
363LF0000X Nurse Practitioner, Family
(Licence: OR  201500491NP-PP)
Enumeration Date2011-07-19
Last Update Date2024-12-16
Business Address
Mr. KENNETH T WALLENFELSZ ARNP
3528 TONGASS AVE
KETCHIKAN, AK 99901-5635
Phone number: 907-220-4447
Mailing Address
Mr. KENNETH T WALLENFELSZ ARNP
3528 TONGASS AVE
KETCHIKAN, AK 99901-5635
Phone number: 907-220-4447