IndividualActive
Alice Kenneally, PA-C
NPI 1295565471 · Physician Assistant · Palmer, AK
Provider details
- NPI number
- 1295565471
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
425 E Dahlia Ave
Palmer, AK 99645-6463
Phone: (907) 376-2411
Approximate (ZIP-level) locationGet directions
Mailing address
425 E Dahlia Ave
Palmer, AK 99645-6463
Registry dates
- Enumerated
- 2024-08-03
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.