Individual
JACK KADING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1500 E 2ND ST STE 300, RENO, NV 89502-1198
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
832568
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14968566
CAQH NUMBER
NV
01
—
832568
APRN LIC
NV
Enumeration date
07/14/2020
Last updated
03/07/2023
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