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Individual
DR. KENNETH JASON PROEFROCK
Active
Individual
DR. KENNETH JASON PROEFROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NMD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
96-481
AZ
171100000X
Acupuncturist
96-481
AZ
175F00000X
Naturopath
Primary
96-481
AZ
175L00000X
Homeopath
96-481
AZ
Other
Enumeration date
12/11/2006
Last updated
03/07/2023
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