Individual
KEVIN WADE-HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10138 W PAYSON RD, TOLLESON, AZ 85353-8441
(414) 759-7445
Mailing address
10138 W PAYSON RD, TOLLESON, AZ 85353-8441
(414) 759-7445
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
D06300831
AZ
1744R1102X
Research Study Specialist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
246ZB0301X
Biomedical Engineer
—
—
246ZB0500X
Biochemist
—
—
Other
Enumeration date
12/05/2022
Last updated
01/04/2023
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