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NPI Code Detail

MEDICARE: MS. KEELEY KADING

MEDICARE:  MS. KEELEY  KADING
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1770005712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KEELEY KADING
Provider Business Mailing Address
First Line : 1305 SPEER ST
Second Line :
City : BIG RAPIDS
State : MI
Zip : 49307-1253
Country : US
Telephone Number : 810-841-4001
Fax Number :
Provider Business Practice Location Address
First Line : 1305 SPEER ST
Second Line :
City : BIG RAPIDS
State : MI
Zip : 49307-1253
Country : US
Telephone Number : 810-841-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2017
Last Update Date : 07/21/2022

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Directions to “ MS. KEELEY KADING ” Practice Location

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