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NPI Code Detail

MEDICARE: KADEN MEDICAL, P.C.

MEDICARE: KADEN MEDICAL, P.C.
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
1101YM0800XMental Health Counselor
2174400000XSpecialist
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1366039505
Entity Type Code : Organization
Provider Name (Legal Business Name) : KADEN MEDICAL, P.C.
Provider Business Mailing Address
First Line : 205 EAST 42ND STREET, 15TH FLOOR
Second Line : C/O KADEN HEALTH, INC.
City : NEW YORK
State : NY
Zip : 10017
Country : US
Telephone Number : 516-650-8891
Fax Number :
Provider Business Practice Location Address
First Line : 4701 COX RD STE 285
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-6808
Country : US
Telephone Number : 888-885-2336
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DOUGLAS A. BROWN
Credential :
Telephone Number : 888-885-2336
Provider Enumeration Date : 12/22/2020
Last Update Date : 12/22/2020

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