Individual
DR. NATHAN KADLEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
615 TH HWY 12, IPSWICH, SD 57451-0314
(605) 426-6063
(605) 426-6304
Mailing address
PO BOX 314, IPSWICH, SD 57451-0314
(605) 426-6063
(605) 426-6304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1124
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00659255
RAILROAD MEDICARE
SD
Enumeration date
11/28/2007
Last updated
02/10/2012
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