Provider Demographics
NPI:1932359379
Name:KADIEN, KATHERINE MAE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MAE
Last Name:KADIEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:MAE
Other - Last Name:POLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:14334 TAYLOR HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GOWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14070-9407
Mailing Address - Country:US
Mailing Address - Phone:315-264-0982
Mailing Address - Fax:
Practice Address - Street 1:10714 NORTH RD
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:NY
Practice Address - Zip Code:14129-9746
Practice Address - Country:US
Practice Address - Phone:716-532-1049
Practice Address - Fax:716-532-0679
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289173-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse