Kenneth Jason Proefrock in Surprise - Nutritionist
Kenneth Jason Proefrock - NPI 1306906060
Kenneth Jason Proefrock is a Nutritionist in Surprise, Arizona. Kenneth Jason Proefrock practices all healthcare services and medical treatments related to Nutritionist. The NPI Number for Kenneth Jason Proefrock is 1306906060. The last update date is 2023-03-07.
Kenneth Jason Proefrock's current location address is 14991 W Bell Rd, Surprise, Arizona. You can contact this provider via phone number 6239770077 and fax number 6239770057. The mailing address for Kenneth Jason Proefrock is 14991 W Bell Rd, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Jason Proefrock |
|---|---|
| Address | 14991 W Bell Rd, Surprise, Arizona |
| Phone Number | 6239770077 |
| Fax Number | 6239770057 |
| Sole Proprietor | N |
| Credentials | NMD |
NPI Number Detail
| NPI Number | 1306906060 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 14991 W Bell Rd |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853743874 |
| Phone Number | 6239770077 |
| Fax Number | 6239770057 |
Provider's Primary Taxonomy Detail
| Speciality | Nutritionist |
|---|---|
| Taxonomy | 133N00000X |
| Licence No | 96-481 |
|
Definition: A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Jason Proefrock by the Centers for Medicare & Medicaid Services?
The Kenneth Jason Proefrock has been assigned the NPI (National Provider Identifier) 1306906060. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Jason Proefrock located?
The Kenneth Jason Proefrock is located at 14991 W Bell Rd, Surprise, AZ 853743874.
What is the Kenneth Jason Proefrock's specialty and taxonomy code?
The Kenneth Jason Proefrock's specialty is Nutritionist, and the corresponding taxonomy code is 133N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306906060 to Kenneth Jason Proefrock?
The Centers for Medicare & Medicaid Services assigned the 1306906060 to Kenneth Jason Proefrock on 2006-12-11.
As of what date was the information pertaining to Kenneth Jason Proefrock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth Jason Proefrock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK