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Mr. Kent Wayne Vandevender, PA-C
Medical Physician Assistant in Staunton, Virginia
NPI 1407886203

Kent Wayne Vandevender is a Medical Physician Assistant based in Staunton, VA and is specialized in Medical. Kent Wayne Vandevender practices in Staunton, VA and has the professional credentials of PA-C. The NPI Number for Kent Wayne Vandevender is 1407886203 and holds a License No. 621 (Virginia).

The current practice location address for Kent Wayne Vandevender is 103 Valley Center Dr, Staunton, VA and can be reached out via phone at 540-332-8220 and via fax at 540-332-8385.

Location: 103 Valley Center Dr, Staunton, VA, 24402-2500
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Provider Profile Details
NPI Number
1407886203
Provider Name
Kent Wayne Vandevender
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
103 Valley Center Dr, Staunton, VA, 24402-2500
Phone Number
540-332-8220
Fax Number
540-332-8385
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810026229 05 WV
institution
Provider Business Practice Location Address Details
Address
103 Valley Center Dr
City
State
Zip
24401-5080
Phone Number
540-332-8220
Fax Number
540-332-8385
person
Provider Business Mailing Address Details
Address
103 Valley Center Dr
City
State
Zip
24401-5080
Phone Number
540-332-8220
Fax Number
540-332-8385
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
621 (West Virginia)
Definition
Definition to come...
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