Healthcare Provider Details

I. General information

NPI: 1831004555
Provider Name (Legal Business Name): KADEN WESTERGAARD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8025 GRAND AVE UNIT 6336
WEST DES MOINES IA
50266-5360
US

IV. Provider business mailing address

225 PRAIRIE VIEW DR APT 6336
WEST DES MOINES IA
50266-7123
US

V. Phone/Fax

Practice location:
  • Phone: 605-389-7919
  • Fax:
Mailing address:
  • Phone: 605-389-7919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: