Kenneth Leo Fleck is a Medical in Tacoma, Washington. Kenneth Leo Fleck practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenneth Leo Fleck is 1417045857. The last update date is 2007-07-08.
Kenneth Leo Fleck's current location address is 910 Tacoma Ave S, Tacoma, Washington. You can contact this provider via phone number 2537084033 and fax number 2537984043. The mailing address for Kenneth Leo Fleck is 910 Tacoma Ave S, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Leo Fleck |
|---|---|
| Address | 910 Tacoma Ave S, Tacoma, Washington |
| Phone Number | 2537084033 |
| Fax Number | 2537984043 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1417045857 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 910 Tacoma Ave S |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984022104 |
| Phone Number | 2537084033 |
| Fax Number | 2537984043 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10001613 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GAB36263 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Leo Fleck by the Centers for Medicare & Medicaid Services?
The Kenneth Leo Fleck has been issued the NPI (National Provider Identifier) 1417045857, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth Leo Fleck?
The Kenneth Leo Fleck is situated at 910 Tacoma Ave S, in the city of Tacoma, state of WA, with the zip code 984022104.
What is Kenneth Leo Fleck's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Leo Fleck is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
When did the Kenneth Leo Fleck receive its 1417045857?
The Kenneth Leo Fleck was issued its 1417045857 on 2006-10-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Kenneth Leo Fleck last refreshed?
The information related to the Kenneth Leo Fleck, including its address, specialty, and other relevant details, was last updated on 2007-07-08.