Ken Wade, CRNA

NPI #1013076801 in Little Rock, Arkansas

Provider Information

NPI Number: 1013076801
Entity Type: Individual
Name: Ken Wade, CRNA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: CRNA
Enumeration Date: Dec 7, 2006
Last Updated: May 16, 2008

Practice Location

Address: 9601 INTERSTATE 630 EXIT 7
City: Little Rock
State: Arkansas
ZIP Code: 72205-7202
Phone: (501) 202-2093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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