Individual provider · Type 1 NPI

Kent Wayne Vandevender, PA-C

Medical Physician Assistant · Staunton, VA

NPI number 1407886203 Active

Practice location

103 Valley Center Dr
Staunton, VA 24401-5080

Call (540) 332-8220 Map

Fax (540) 332-8385

Mailing address

PO Box 2500
Staunton, VA 24402-2500

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X621 (WV)
Medical Physician Assistant Primary 363AM0700X0110002674 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1407886203

Kent Wayne Vandevender, PA-C's National Provider Identifier is 1407886203, issued on Jul 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staunton, VA. The record was last updated on Aug 3, 2016.