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Dr. Kenneth Jason Proefrock

Homeopath Naturopath

14991 W Bell Rd
Surprise , Arizona 85374-3874

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Dr. Kenneth Jason Proefrock

Homeopath Naturopath

14991 W Bell Rd
Surprise , Arizona 85374-3874

(623) 977-0057

Write a Review Save Call

Dr. Kenneth Jason Proefrock

Homeopath Naturopath

14991 W Bell Rd
Surprise , Arizona 85374-3874

(623) 977-0057 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Naturopath
  • Homeopath

Languages spoken

  • English

Location

14991 W Bell Rd Surprise , Arizona 85374-3874

First Address

  • Dr. Kenneth Jason Proefrock
  • 14991 W Bell Rd
  • Surprise, AZ
  • Zip : 85374-3874
  • Fax : (623) 977-0057
  • Phone : (623) 977-0077

Second Address

  • Dr. Kenneth Jason Proefrock
  • 14991 W Bell Rd
  • Surprise, AZ
  • Zip : 85374-3874
  • Fax : (623) 977-0057
  • Phone : (623) 977-0077

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FAQs


Where did Dr. Kenneth Jason Proefrock attend graduate school?

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Where did Dr. Kenneth Jason Proefrock do his residency?

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Where did Dr. Kenneth Jason Proefrock do his fellowship?

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Is Dr. Kenneth Jason Proefrock board certified?

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What type of doctor is Dr. Kenneth Jason Proefrock

Naturopath

In what state does Dr. Kenneth Jason Proefrock practice in?

Arizona

Where is Dr. Kenneth Jason Proefrock ’s practice located?

14991 W Bell Rd , Surprise, Arizona, 85374-3874

What is Dr. Kenneth Jason Proefrock ’s gender?

Male

Is Dr. Kenneth Jason Proefrock a sole practitioner?

No

Is Dr. Kenneth Jason Proefrock accepting new patients?

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What languages does Dr. Kenneth Jason Proefrock speak?

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Does Dr. Kenneth Jason Proefrock accept insurance?

Yes, Dr. Kenneth Jason Proefrock accepts insurance

Does Dr. Kenneth Jason Proefrock offers telemedicine?

Dr. Kenneth Jason Proefrock has not indicated if he offers telemedicine

What is Dr. Kenneth Jason Proefrock ’s professional license number?

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What is Dr. Kenneth Jason Proefrock ’s NPI number?

1306906060

Does Dr. Kenneth Jason Proefrock have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 175F00000X Naturopath 96-481 AZ
N 175L00000X Homeopath 96-481 AZ

National Provider Identifier

NPI 1306906060
Provider Name Dr. Kenneth Jason Proefrock
First Address Surprise, AZ 85374-3874
Second Address Surprise, AZ 85374-3874
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/12/2006
Last Update Date 04/11/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
MP0541474 DEA REGISTRATION NUMBER (01) AZ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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