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Individual

LARRY J KADEG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 S 43RD ST, ER DEPT, RENTON, WA 98055-5714
(425) 228-3450
Mailing address
25246 NETWORK PL, CHICAGO, IL 60673-1252
(425) 656-4255
(425) 656-4003

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00020881
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003235
WA
01
185271
LABOR&INDUSTRIES PROV#
WA
01
KA2130
REGENCE BS PROV #
WA
Enumeration date
08/03/2006
Last updated
05/17/2012
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