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Individual

KEITH T KADESKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8230 WALNUT HILL LN, SUITE 700, DALLAS, TX 75231-4482
(214) 691-1902
(214) 987-1845
Mailing address
3600 GASTON AVE STE 1205, DALLAS, TX 75246-1812
(214) 692-8262
(214) 696-4190

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H6326
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118932601
TX
05
118932602
TX
01
340016190
RR MCR
TX
01
340016195
RRMCR
TX
01
80408X
BCBS PROVIDER ID
Enumeration date
05/19/2006
Last updated
03/17/2018
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