Nurse Practitioner, Family
Mr. KENNETH WALLENFELSZ ARNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1457649998 · enumerated 2011-07-19 · record updated 2024-12-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 3528 TONGASS AVE, KETCHIKAN, AK, 99901-5635 (907) 220-4447 Google Maps Apple Maps OpenStreetMap
- Mailing address 3528 TONGASS AVE, KETCHIKAN, AK, 99901-5635 (907) 220-4447 Fax (949) 577-4111 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License AP60207225 WA
- Nurse Practitioner, Family 363LF0000X · License AP60207225 WA
- Nurse Practitioner, Family 363LF0000X · License 201500491NP-PP OR
- Nurse Practitioner, Family 363LF0000X · Primary · License NURU1255 AK
In this directory
AK Ketchikan Gateway Borough Ketchikan Nurse Practitioner, Family
Locations and evidence
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Practice location
KETCHIKAN, AK, 999015635
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.