MR. KENT WAYNE VANDEVENDER PA-C
NPI 1407886203
Physician Assistant - Medical in Staunton, VA

Active since July 04, 2006
103 VALLEY CENTER DR, STAUNTON, VA 24401(540) 332-8220(540) 332-8385 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kent Wayne Vandevender Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENT WAYNE VANDEVENDER PA-C (NPI 1407886203) is an individual medical provider in Staunton, Virginia, licensed in Virginia (0110002674) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1407886203
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENT WAYNE VANDEVENDERCredential: PA-C
Location Address103 VALLEY CENTER DRStaunton, VA 24401-5080
Mailing AddressPo Box 2500Staunton, VA 24402-2500 · (540) 332-8220 · Fax (540) 332-8385
Fax(540) 332-8385
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateAugust 3, 2016
NPI 1407886203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in VA · 0110002674 Licensed in WV · 621
103 VALLEY CENTER DR, Staunton, VA 24401

Other Identifiers 4

Medicare PINWV2885AWV
Medicare PINWV2885C551WV
Medicaid3810026229WV
Medicare UPINP12025WV

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
103 VALLEY CENTER DR
STAUNTON, VA 24401
Emergency Medicine
103 VALLEY CENTER DR
STAUNTON, VA 24401
Internal Medicine
103 VALLEY CENTER DR
STAUNTON, VA 24401
Nurse Practitioner (Psychiatric/Mental Health)
103 VALLEY CENTER DR
STAUNTON, VA 24401
Nurse Practitioner (Psychiatric/Mental Health)
103 VALLEY CENTER DR
STAUNTON, VA 24401
Family Medicine
103 VALLEY CENTER DR
STAUNTON, VA 24401
Nurse Practitioner (Psychiatric/Mental Health)
103 VALLEY CENTER DR
STAUNTON, VA 24401
Psychiatry & Neurology (Psychiatry)
103 VALLEY CENTER DR
STAUNTON, VA 24401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent Vandevender's NPI number?

The NPI number for Kent Vandevender is 1407886203. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Kent Vandevender located?

Kent Vandevender practices at 103 Valley Center Dr, Staunton, VA 24401. The listed phone number is (540) 332-8220.

What is Kent Vandevender's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kent Vandevender was last updated on August 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.