Healthcare Provider Details

I. General information

NPI: 1760483549
Provider Name (Legal Business Name): FRANK JOSEPH KADEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MAIN ST
BRAWLEY CA
92227-2630
US

IV. Provider business mailing address

69648 VALLE DE COSTA
CATHEDRAL CITY CA
92234-1788
US

V. Phone/Fax

Practice location:
  • Phone: 760-344-6471
  • Fax:
Mailing address:
  • Phone: 304-647-1175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0102201488
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number20A13459
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number1938
License Number StateWV
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number20A13459
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: