Kevin Francis Wade in Ontario - Adolescent Medicine
Kevin Francis Wade - NPI 1629135926
Kevin Francis Wade is a Adolescent Medicine in Ontario, Oregon. Kevin Francis Wade practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Kevin Francis Wade is 1629135926. The last update date is 2019-11-13.
Kevin Francis Wade's current location address is 1219 Sw 4th Ave, Ontario, Oregon. You can contact this provider via phone number 5418892668 and fax number 5418892997. The mailing address for Kevin Francis Wade is 1219 Sw 4th Ave, Ontario, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Francis Wade |
|---|---|
| Address | 1219 Sw 4th Ave, Ontario, Oregon |
| Phone Number | 5418892668 |
| Fax Number | 5418892997 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629135926 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2019-11-13 |
Provider Mailing Address Detail
| Address | 1219 Sw 4th Ave |
|---|---|
| City | Ontario |
| State | Oregon (OR) |
| Post Code | 979144566 |
| Phone Number | 5418892668 |
| Fax Number | 5418892997 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | MD196078 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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What is the unique 10-digit identifier code assigned to Kevin Francis Wade by the Centers for Medicare & Medicaid Services?
The Kevin Francis Wade has been issued the NPI (National Provider Identifier) 1629135926 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kevin Francis Wade?
The Kevin Francis Wade is situated at 1219 Sw 4Th Ave, in the city of Ontario, state of OR, with the zip code 979144566.
What is Kevin Francis Wade's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Francis Wade's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
When was the Kevin Francis Wade's 1629135926 issued?
The Kevin Francis Wade's 1629135926 was issued on 2007-01-03.
When was the Kevin Francis Wade's information last updated?
The Kevin Francis Wade's information was last updated on 2019-11-13.