| Mr Kenneth Leo Fleck, PA-C | |
|
910 Tacoma Ave S, Tacoma, WA 98402-2104 | |
| (253) 708-4033 | |
| (253) 798-4043 |
| Full Name | Mr Kenneth Leo Fleck |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 910 Tacoma Ave S, Tacoma, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417045857 | NPI | - | NPPES |
| GAB36263 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10001613 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Leo Fleck, PA-C 5012 161st St E, Tacoma, WA 98446-3810 Ph: (253) 536-1232 | Mr Kenneth Leo Fleck, PA-C 910 Tacoma Ave S, Tacoma, WA 98402-2104 Ph: (253) 708-4033 |
Mr. Shi Chian Khor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-7537 Fax: 253-403-4576 | |
Alexandra Cornwall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Mr. Christopher R Walsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Grant Alexander Yelliott Ii, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6660 Fax: 253-426-6250 | |
Margaret Mary Fahy, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0432 | |
Mr. Clay Randles, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-1110 | |
Mr. Sheldon Burdell Watson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-966-7546 |