Provider Demographics
NPI:1235649211
Name:KADEN, SYDNI MARIE (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:SYDNI
Middle Name:MARIE
Last Name:KADEN
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 S LEONARD RD APT 2
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64503-1957
Mailing Address - Country:US
Mailing Address - Phone:573-201-5672
Mailing Address - Fax:
Practice Address - Street 1:802 N RIVERSIDE RD STE 130
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-2508
Practice Address - Country:US
Practice Address - Phone:816-271-6664
Practice Address - Fax:816-271-4924
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20150233672081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine