Provider Demographics
NPI:1194382135
Name:KADAN CORPORATION
Entity Type:Organization
Organization Name:KADAN CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-396-8997
Mailing Address - Street 1:1848 INDEPENDENCE SQUARE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338
Mailing Address - Country:US
Mailing Address - Phone:770-396-8997
Mailing Address - Fax:770-396-5445
Practice Address - Street 1:1848 INDEPENDENCE SQUARE
Practice Address - Street 2:SUITE A
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338
Practice Address - Country:US
Practice Address - Phone:770-396-8997
Practice Address - Fax:770-396-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care