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Mr. Kenneth Leo Fleck, PA-C
Medical Physician Assistant in Tacoma, Washington
NPI 1417045857

Kenneth Leo Fleck is a Medical Physician Assistant based in Tacoma, WA and is specialized in Medical. Kenneth Leo Fleck practices in Tacoma, WA and has the professional credentials of PA-C. The NPI Number for Kenneth Leo Fleck is 1417045857 and holds a License No. PA10001613 (Washington).

The current practice location address for Kenneth Leo Fleck is 910 Tacoma Ave S, Tacoma, WA and can be reached out via phone at 253-708-4033 and via fax at 253-798-4043. You can also correspond with Kenneth Leo Fleck through the mailing address at 5012 161ST ST E, TACOMA, WA - 98446-3810 (mailing address contact number: 253-536-1232).

Location: 910 Tacoma Ave S, Tacoma, WA, 98446-3810
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Provider Profile Details
NPI Number
1417045857
Provider Name
Kenneth Leo Fleck
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
910 Tacoma Ave S, Tacoma, WA, 98446-3810
Phone Number
253-708-4033
Fax Number
253-798-4043
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GAB36263 05 WA
institution
Provider Business Practice Location Address Details
Address
910 Tacoma Ave S
City
State
Zip
98402-2104
Phone Number
253-708-4033
Fax Number
253-798-4043
person
Provider Business Mailing Address Details
Address
910 Tacoma Ave S
City
State
Zip
98402-2104
Phone Number
253-708-4033
Fax Number
253-798-4043
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10001613 (Washington)
Definition
Definition to come...
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