Individual provider · Type 1 NPI

Kenton Wandasan, PA-C

Physician Assistant · Washington, DC

NPI number 1104669449 Active

Practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104669449

Kenton Wandasan, PA-C's National Provider Identifier is 1104669449, issued on Jun 14, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Washington, DC. The record was last updated on Oct 2, 2024.