Search › Arizona › 175F00000X
Kenneth Proefrock, NMD
NPI 1306906060 · on the registry since 2006
Practice
- Address
- 14991 W Bell Rd
Surprise, AZ 85374 - Phone
- (623) 977-0077
- Fax
- (623) 977-0057
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Also registered as
- 133N00000X
171100000X
175L00000X - Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona