Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Jason Proefrock, NMD

Individual provider Nutritionist · NPI 1306906060

Dr. Kenneth Jason Proefrock, NMD is a Nutritionist in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
4

Practice location Address checks out

14991 W Bell Rd
Surprise, AZ 85374-3874
Phone: (623) 977-0077
Fax: (623) 977-0057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 96-481 (AZ)
Nutritionist Taxonomy 133N00000X · Licence 96-481 (AZ)
Acupuncturist Taxonomy 171100000X · Licence 96-481 (AZ)
Homeopath Taxonomy 175L00000X · Licence 96-481 (AZ)

Record details

NPI number1306906060
Entity typeIndividual (Type 1)
GenderMale
Credentials NMD
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESMarch 7, 2023

Other providers in Surprise