| Mr Kenneth Alan Wade, PA | |
|
1325 N 600 E, Suite 102, Logan, UT 84341-6738 | |
| (435) 753-9999 | |
| (435) 753-2301 |
| Full Name | Mr Kenneth Alan Wade |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1325 N 600 E, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699826149 | NPI | - | NPPES |
| 1015921206 | Other | UT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1015921206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Alan Wade, PA 1325 N 600 E, Suite 102, Logan, UT 84341-6738 Ph: (435) 753-9999 | Mr Kenneth Alan Wade, PA 1325 N 600 E, Suite 102, Logan, UT 84341-6738 Ph: (435) 753-9999 |
Adrienne Mcmaster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2380 N 400 E Ste B, Logan, UT 84341 Phone: 435-752-5741 | |
Mr. Tyson Anderson Cluff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-2800 | |
Thomas W Price, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 E 1400 N, Logan, UT 84341 Phone: 435-716-5478 | |
Benjamin Seale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-2800 | |
Kelsey Thorne, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2245 N 400 E Ste 201, Logan, UT 84341 Phone: 435-787-7001 Fax: 801-216-8357 | |
Chantee I Wyatt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1451 N 200 E Suite #250, Logan, UT 84341 Phone: 435-363-7853 Fax: 435-799-3598 | |
Christopher Groberg, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1300 N 500 E Ste 320, Logan, UT 84341 Phone: 435-716-2200 Fax: 435-716-2220 |