MEDICARE: DR. NANCY JENNIFER KADEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD00034778	WA
2	208100000X	Physical Medicine & Rehabilitation Physician	MD00034778	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	131380	OTHER		INTERNAL ID-MOTOR VEHICLE ID

General Provider Information

NPI Number	:	1144306952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY JENNIFER KADEL MD

Provider Business Mailing Address
First Line	:	3213 EASTLAKE AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-7127
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:	206-324-1178

Provider Business Practice Location Address
First Line	:	3213 EASTLAKE AVENUE EAST, SUITE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:	206-324-1178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/21/2022

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