Kenneth Wade, P.A

NPI 1699826149 · on the registry since 2007

Practice

Address: 1325 N 600 E
Suite 102
Logan, UT 84341
Phone: (435) 753-9999
Fax: (435) 753-2301
Organisation at this address: Canyon Medical Group
Cache Valley Womens Center, Pllc
Treehouse Acorn Pediatrics & Family Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah