MR. KENT WAYNE VANDEVENDER PA-C NPI 1407886203

NPI Information

  • NPI: 1407886203
  • Provider Name: MR. KENT WAYNE VANDEVENDER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 103 VALLEY CENTER DR
    STAUNTON, VA
    ZIP 24401
  • Phone: (540) 332-8220

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NPI Details

MR. Kent Wayne Vandevender, PA-C is a medical physician assistant in Staunton, VA. MR. Kent Wayne Vandevender, PA-C NPI is 1407886203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

103 VALLEY CENTER DR
STAUNTON, VA
ZIP 24401-080
Phone: (540) 332-8220
Fax: (540) 332-8385

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical621WEST VIRGINIANo
2363AM0700XPhysician AssistantMedical0110002674VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WV2885AMEDICARE PINWEST VIRGINIA
2WV2885C551MEDICARE PINWEST VIRGINIA
33810026229MEDICAIDWEST VIRGINIA
4P12025MEDICARE UPINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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