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Individual

DR. STEVEN O KADING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 16TH ST, GREELEY, CO 80631-5114
(970) 350-2740
(970) 352-3719
Mailing address
1900 16TH ST, GREELEY, CO 80631-5114
(970) 350-2740
(970) 352-3719

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23247
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01232479
CO
01
P00944758
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
01/02/2006
Last updated
07/01/2013
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