Individual provider · Type 1 NPI

Kenneth Alan Wade, P.A

Medical Physician Assistant · Logan, UT

NPI number 1699826149 Active

About NPI 1699826149

Kenneth Alan Wade, P.A's National Provider Identifier is 1699826149, issued on Jan 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Logan, UT. The record was last updated on Nov 29, 2016.