Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN WADE-HANSON
Active Sole ProprietorKEVIN WADE-HANSON is a 1744R1102X healthcare provider located in TOLLESON, Arizona. NPI 1962113548 is currently active in the NPPES registry. Verify at CMS.
1744R1102X · TOLLESON, AZ
Registration Details
- NPI Number
- 1962113548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2022 (3.5075244931775 yrs)
- Last Updated
- Jan 4, 2023
- License
-
D06300831 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10138 W PAYSON RDTOLLESON, AZ, 853538441Browse AZ providers · Browse ZIP 85353
- Phone
- 4147597445
- Primary Specialty
-
1744R1102X
1744R1102X
- Additional Specialty
- 246ZB0500X
- Additional Specialty
- Driver
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Bone Densitometry Specialist
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.