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Individual

KENNETH A SHEAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1060 GAFFNEY RD # 7440, FT WAINWRIGHT, AK 99703-5002
(907) 361-5247
Mailing address
1060 GAFFNEY RD # 7440, FT WAINWRIGHT, AK 99703-5002
(907) 361-5247

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
10/25/2021
Last updated
11/07/2022
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Product
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