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

Kenton Wandasan, PA-C

Individual provider Physician Assistant · NPI 1104669449

Kenton Wandasan, PA-C is a Physician Assistant in Washington, District of Columbia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone: (202) 444-3700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104669449
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Other providers in Washington