NPI 1013076801

Ken Wade, CRNA

Practitioner Anesthesiology Physician Little Rock, AR

Practice location

Address: 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202
Phone: (501) 202-2093
Mailing address: 11001 Executive Center Dr Suite 200, Little Rock, AR 72211-4316

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence C00324 (AR)

Other Anesthesiology providers in Arkansas →

Registry record

NPI: 1013076801
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2006
Record last updated: 16 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.