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

Mr. Kenneth Alan Wade, PA

Individual provider Medical Physician Assistant · NPI 1699826149

Mr. Kenneth Alan Wade, PA is a Medical Physician Assistant in Logan, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1325 N 600 E Ste 102
Logan, UT 84341-6738
Phone: (435) 753-9999
Fax: (435) 753-2301
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1015921206 (UT)

Record details

NPI number1699826149
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 12, 2007
Last updated in NPPESNovember 29, 2016

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