Search › Arizona › 1744R1102X
Kevin Wade-Hanson
NPI 1962113548 · on the registry since 2022 · sole proprietor
Practice
- Address
- 10138 W Payson Rd
Tolleson, AZ 85353 - Phone
- (414) 759-7445
Registry record
- Primary taxonomy
- 1744R1102X
1744R1102X
- Also registered as
- 246ZB0500X
172A00000X
2255A2300X
246ZB0301X - Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-04
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 Arizona