MR. KENNETH LEO FLECK PA-C
NPI 1417045857
Physician Assistant - Medical in Tacoma, WA

Q: What is Kenneth Fleck's NPI number?

The NPI number for Kenneth Fleck is 1417045857. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Kenneth Fleck's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Fleck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2006

910 TACOMA AVE S, TACOMA, WA 98402(253) 708-4033(253) 798-4043 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Kenneth Leo Fleck Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH LEO FLECK PA-C (NPI 1417045857) is an individual medical provider in Tacoma, Washington, licensed in Washington (PA10001613) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417045857

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. KENNETH LEO FLECKCredential: PA-C

Location Address910 TACOMA AVE STacoma, WA 98402-2104

Mailing Address5012 161st St ETacoma, WA 98446-3810 · (253) 536-1232 · Fax (253) 536-9028

Phone(253) 708-4033

Fax(253) 798-4043

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417045857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA10001613

910 TACOMA AVE S, Tacoma, WA 98402

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Other Identifiers 3

MedicaidGAB36263WA

Medicare UPINP8420WA

Medicare ID-Type UnspecifiedGAB36263WA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIERCE COUNTY JAIL CLINIC

Physician Assistant (Medical)

910 TACOMA AVE S
TACOMA, WA 98402

Pierce County (253) 798-3442

MS. AZUSA MATSUBAYASHI ARNP

Nurse Practitioner (Psychiatric/Mental Health)

910 TACOMA AVE S
TACOMA, WA 98402

Pierce County (253) 403-1000

DAVID NICHOLAS DEACONSON RN

Nurse Practitioner (Psychiatric/Mental Health)

910 TACOMA AVE S
TACOMA, WA 98402

Pierce County (253) 798-4668

P.C. JAIL CLINIC

Custodial Care Facility

910 TACOMA AVE S
TACOMA, WA 98402

Pierce County (253) 798-4033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Fleck's NPI number?

The NPI number for Kenneth Fleck is 1417045857. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Kenneth Fleck located?

Kenneth Fleck practices at 910 Tacoma Ave S, Tacoma, WA 98402. The listed phone number is (253) 708-4033.

What is Kenneth Fleck's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Fleck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.