Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH ALAN WADE, P.A
ActiveMedical Physician Assistant · LOGAN, UT
Registration Details
- NPI Number
- 1699826149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.272904451207 yrs)
- Last Updated
- Nov 29, 2016
- License
-
1015921206 (UT)
Practice Information
- Address
-
1325 N 600 ESUITE 102LOGAN, UT, 843416738Browse UT providers · Browse ZIP 84341
- Phone
- 4357539999
- Fax
- 4357532301
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN EUGENE NICKMAN | PA-C | 1669459301 |
| MR. MARC LAWSON | P.A.-C | 1285756825 |
| BRENT PITCHER | PA-C | 1881876860 |
| BRANDON D DURFEE | PA-C | 1386946838 |
| JAMIE COY GRANGE | PA-C | 1528438140 |
| BRADLEY CURTIS BYBEE | PA-C | 1770034761 |
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.