Individual provider · Type 1 NPI

Alice Raven Kenneally, PA-C

Physician Assistant · Palmer, AK

NPI number 1295565471 Active

Practice location

425 E Dahlia Ave
Palmer, AK 99645-6463

Call (907) 376-2411 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X233490 (AK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295565471

Alice Raven Kenneally, PA-C's National Provider Identifier is 1295565471, issued on Aug 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Palmer, AK. The record was last updated on Apr 30, 2025.