Alice Raven Kenneally, PA-C
Alice Raven Kenneally, PA-C is a Physician Assistant in Palmer, Alaska. Graduated from East Carolina University School of Dentistry in 2024, 2 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Alaska.
- Years since qualifying
- 2
- Trained at
- East Carolina University School of Dentistry
- Licensed in
- AK
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
Palmer, AKNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 233490 (AK) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1295565471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 3, 2024 |
| Last updated in NPPES | April 30, 2025 |
| Certification date | April 30, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY |
| Graduated | 2024 (2 years in practice) |
| Group practice | Select Physical Therapy Holdings Inc — 2121 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Palmer
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Jovan Prudencio Archuleta
Student / training record Palmer, AK
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Jennifer Fife
Student / training record Palmer, AK
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Lillie Michelle Grimes, PHD
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Maggie Gruber
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