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Individual

DR. WADE KINGERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3801 MIRANDA AVE, VAPAHCS, PMR (117), PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
3801 MIRANDA AVE, VAPAHCS, PMR (117), PALO ALTO, CA 94304-1207
(650) 493-5000

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G56823
CA

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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