Provider Demographics
NPI:1669204723
Name:KASS, JADE
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:KASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14878 GILES RD APT 311
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68138-3141
Mailing Address - Country:US
Mailing Address - Phone:816-617-2870
Mailing Address - Fax:
Practice Address - Street 1:H&K BUILDING 6001 DODGE STREET
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68182-0001
Practice Address - Country:US
Practice Address - Phone:402-554-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer