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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH T WALLENFELSZ, ARNP

Active Sole Proprietor

MR. KENNETH T WALLENFELSZ, ARNP is a Family Nurse Practitioner healthcare provider located in KETCHIKAN, Alaska. NPI 1457649998 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · KETCHIKAN, AK

Registration Details

NPI Number
1457649998
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2011 (15.031852369504 yrs)
Last Updated
Dec 16, 2024
Licenses
AP60207225 (WA)
AP60207225 (WA)
201500491NP-PP (OR)
NURU1255 (AK)
Sole Proprietor
Yes

Practice Information

Address
3528 TONGASS AVE
KETCHIKAN, AK, 999015635
Browse AK providers · Browse ZIP 99901
Phone
9072204447
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in KETCHIKAN, AK

Name Credential NPI
LORRAINE LEILANI HILL FNP 1790715886
MS. HELEN ROSE KLEIN NURSE PRACTITIONER 1376613208
THERESA F NIELSEN FNP 1851462717
MS. VANESSA MARIE HADLEY ARNP 1629252044
MAUREEN NORTHWAY FNP-C 1295912608
SARAH ELIZABETH HINES FNP-C 1669707584
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.