WADE ALAN KENNEY


Address: 200 Patewood Dr, Suite C100, Greenville, SC 29615-3593
Phone: 8644547422

WADE ALAN KENNEY (NPI# 1275725202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275725202
Entity Type Individual
Full Name WADE ALAN KENNEY
Credential PA-C
Practice Address 200 Patewood Dr
Suite C100
Greenville
SC 29615-3593
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Practice Telephone 8644547422
Practice Fax Number 8644548265
Mailing Telephone 8647976044
Mailing Fax Number 8647976198
Enumeration Date 2007-08-14
Last Update Date 2013-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2020 SC Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA 9104209 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 PATEWOOD DR
SUITE C100
City GREENVILLE
State SC
Zip Code 29615-3593

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508861345 John Kim Johnson Neurological Surgery 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 2005-06-17
1255941241 Sharmaine Barnes Specialist/Technologist 200 Patewood Dr, Greenville, SC 29615-3593 2020-08-04
1598320897 Yana Ginzburg Physical Therapist 200 Patewood Dr, Greenville, SC 29615-3593 2019-05-02
1457891228 Sierra R Williams Nurse Practitioner 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 2017-02-27
1063951333 Megan Lee Hiott Nurse Practitioner 200 Patewood Dr, A330, Greenville, SC 29615-3593 2017-02-19
1316485394 Anita Suzette Combs Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2017-02-09
1730626813 Lauren Lee Hays Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2017-01-26
1497200083 Abigail Pellett Physical Therapist 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 2016-08-24
1033664909 Prisma Health-upstate General Acute Care Hospital 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 2016-08-22
1144775032 Prisma Health-upstate General Acute Care Hospital 200 Patewood Dr, Building A, Greenville, SC 29615-3593 2016-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194358051 Adenike Orogade Behavior Technician 17 Caldedon Ct, Suite B, Greenville, SC 29615 2020-02-19
1629608369 Jennifer Jacobsen Behavior Technician 17 Caldedon Court, Suite B, Greenville, SC 29615 2020-01-22
1932668217 Carolina Orthopaedic and Neurosurgical Associates Orthopaedic Surgery Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 2019-03-18
1255816070 Trevis L Cureton Pharmacist 2401 East North St, Greenville, SC 29615 2018-09-27
1497232565 Jacob J Fountain Nurse Practitioner 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 2018-07-23
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1558853101 Alexandra Michelle Taylor Audiologist 200 Patewood Dr Ste 400, Greenville, SC 29615 2018-05-30
1316466543 Mariah Hope Mosher Behavioral Analyst 7 Mckenna Commons Court, Greenvilee, SC 29615 2017-09-19
1326400896 Karen L Heaps Counselor 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 2016-03-24
1134589013 Sharon Erk Technician, Other 2950 E.norths St, Greenville, OH 29615 2016-03-04
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922270594 Kati George Carter Physician Assistant 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 2008-03-24
1043215411 Gretchen Blair Journigan Physician Assistant 2245 Stantonsburg Rd, Suite H, Greenville, NC 27834-2868 2005-06-14
1558971820 Meghan Elizabeth Mcdonough Physician Assistant 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 2020-08-03
1538675756 Amanda Marie Looper Physician Assistant 111 Doctors Dr, Greenville, SC 29605-5622 2017-12-26
1306374400 Kevin R Knapp Physician Assistant 200 Patewood Dr Ste A115, Greenville, SC 29615-3547 2017-06-01
1730628629 Elizabeth Mclawhorn Physician Assistant 850 Johns Hopkins Drive, Greenville, NC 27835 2017-02-13
1174067771 Caitlin Sippey Physician Assistant 2325 Stantonsburg Rd, Greenville, NC 27834-7534 2016-12-15
1093110140 Danielle Elise Low Physician Assistant 11 Park Creek Dr, Greenville, SC 29605-4270 2014-10-31
1689009722 Kimberly Yost Miller Physician Assistant 890 W Faris Rd, Suite 310, Greenville, SC 29605-4253 2013-09-09
1427300847 Melissa Ruth Grinnell Physician Assistant 890 W Faris Rd, Suite 310, Greenville, SC 29605-4253 2012-10-09
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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