Individual provider · Type 1 NPI

Kenneth T. Wallenfelsz, ARNP

Family Nurse Practitioner · Ketchikan, AK

NPI number 1457649998 Active

Practice location

3528 Tongass Ave
Ketchikan, AK 99901-5635

Other practice locations

  • 834 Sheridan St, Port Townsend, WA 98368-2443 · (360) 385-2200
  • 1274 7th St Ste A, Port Townsend, WA 98368-2404 · (360) 385-2204

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP60207225 (WA)
Family Nurse Practitioner 363LF0000XAP60207225 (WA)
Family Nurse Practitioner 363LF0000X201500491NP-PP (OR)
Family Nurse Practitioner Primary 363LF0000XNURU1255 (AK)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1457649998

Kenneth T. Wallenfelsz, ARNP's National Provider Identifier is 1457649998, issued on Jul 19, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ketchikan, AK. The record was last updated on Dec 16, 2024.