Individual
MRS. KRISTEN LEIGH QADADAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 HOSPITAL RD FL 6, DWIGHT D EISENHOWER ARMY MEDICAL CENTER, FT GORDON, GA 30905-5650
(706) 787-2552
Mailing address
300 HOSPITAL RD FL 6, DWIGHT D EISENHOWER ARMY MEDICAL CENTER, FT GORDON, GA 30905-5650
(706) 787-2552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
623606
CA
163W00000X
Registered Nurse
Primary
RN174951
GA
163WC1500X
Community Health Registered Nurse
67313
CA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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