DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENT B WHITAKER, PA

Active Sole Proprietor

Physician Assistant · LOGAN, UT

Registration Details

NPI Number
1487635579
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2005 (20.454799124232 yrs)
Last Updated
May 15, 2008
License
105103-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
550 E 1400 N
SUITE R
LOGAN, UT, 843412406
Browse UT providers · Browse ZIP 84341
Phone
4357559484
Fax
4357552832
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LOGAN, UT

Name Credential NPI
DALE JAMES BINGHAM PA-C 1376547935
RYAN J GARFIELD PA-C 1538166855
GREG E HALLIDAY PA-C 1366431918
CRAIG BURDETT P.A. 1205886462
TERYL RAY HUNSAKER PA 1376553834
WILSON SCOTT HUNT PA 1871503201
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.