Individual
JOSHUA A KADETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 CHESTNUT DR, WALTON, KY 41094-7845
(859) 485-7900
(859) 485-7920
Mailing address
625 CHESTNUT DR, WALTON, KY 41094-7845
(859) 485-7900
(859) 485-7920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42223
KY MEDICAL LICENSE
KY
05
—
7100028930
—
KY
Enumeration date
11/12/2007
Last updated
10/09/2017
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