Provider Demographics
NPI:1417841230
Name:KADO, LAURA HANNAH (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:HANNAH
Last Name:KADO
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:794 PALMS RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-1908
Mailing Address - Country:US
Mailing Address - Phone:248-525-3359
Mailing Address - Fax:
Practice Address - Street 1:794 PALMS RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-1908
Practice Address - Country:US
Practice Address - Phone:248-525-3359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant