ALICE RAVEN KENNEALLY PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1295565471- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 425 E DAHLIA AVE, PALMER, AK, 996456463
- Phone
- (907) 376-2411
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Physician Assistant
Primary License: AK #233490