Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kent B Whitaker, PA

Individual provider Physician Assistant · NPI 1487635579

Kent B Whitaker, PA is a Physician Assistant in Logan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

550 E 1400 N Ste R
Logan, UT 84341-2406
Phone: (435) 755-9484
Fax: (435) 755-2832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 105103-1206 (UT)

Record details

NPI number1487635579
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 7, 2005
Last updated in NPPESMay 15, 2008
Mailing address550 E 1400 N, Ste R, Logan, UT 84341-2406

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