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).
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 |
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 |
Street Address |
200 PATEWOOD DR SUITE C100 |
City | GREENVILLE |
State | SC |
Zip Code | 29615-3593 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 29615 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
City | GREENVILLE |
Zip Code | 29615 |
Please comment or provide details below to improve the information on WADE ALAN KENNEY.
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.