Provider Demographics
NPI:1831521160
Name:KADEL, KRISTEN DIANE (RN)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:DIANE
Last Name:KADEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-1603
Mailing Address - Country:US
Mailing Address - Phone:785-738-5175
Mailing Address - Fax:785-738-5053
Practice Address - Street 1:310 W 8TH ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-1603
Practice Address - Country:US
Practice Address - Phone:785-738-5175
Practice Address - Fax:785-738-5053
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-87679-041163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse