Kenney, Wade Alan

Kenney, Wade Alan is an individual health care provider with primary practice located at 200 Patewood Dr Suite C100, Greenville SC 29615-3593. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Kenney, Wade Alan can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
200 Patewood Dr Suite C100 Greenville SC 29615-3593
Phone: (864) 454-7422
Fax: (864) 454-8265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 9104209 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2020 South Carolina

Profile Details

NPI number 1275725202
LBN Legal business name Kenney, Wade Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Nov 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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