Kenneth Dale Wenslow in Alpharetta - Physician Assistant
Kenneth Dale Wenslow - NPI 1295805661
Kenneth Dale Wenslow is a Physician Assistant in Alpharetta, Georgia. Kenneth Dale Wenslow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth Dale Wenslow is 1295805661. The last update date is 2022-07-01.
Kenneth Dale Wenslow's current location address is 12389 Crabapple Rd, Alpharetta, Georgia. You can contact this provider via phone number 4702991998 and fax number 4702991898. The mailing address for Kenneth Dale Wenslow is 12389 Crabapple Rd, Alpharetta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Dale Wenslow |
|---|---|
| Address | 12389 Crabapple Rd, Alpharetta, Georgia |
| Phone Number | 4702991998 |
| Fax Number | 4702991898 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1295805661 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2022-07-01 |
Provider Mailing Address Detail
| Address | 12389 Crabapple Rd |
|---|---|
| City | Alpharetta |
| State | Georgia (GA) |
| Post Code | 300046328 |
| Phone Number | 4702991998 |
| Fax Number | 4702991898 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2823 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 031481164A | GA | -- | |
| 2823 | GA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Dale Wenslow by the Centers for Medicare & Medicaid Services?
The Kenneth Dale Wenslow has been assigned the NPI (National Provider Identifier) 1295805661. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kenneth Dale Wenslow's facilities are situated?
The facilities of Kenneth Dale Wenslow are physically located at the following address: 12389 Crabapple Rd, Alpharetta, GA, 300046328.
What is Kenneth Dale Wenslow's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Dale Wenslow's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
What is Kenneth Dale Wenslow's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth Dale Wenslow is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1295805661 assigned to Kenneth Dale Wenslow?
The Kenneth Dale Wenslow was issued its 1295805661 on 2006-11-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.