Kadechuk, Laura Louise

Kadechuk, Laura Louise is an individual health care provider with primary practice located at 2100 W Iowa Ave Suite A, Chickasha OK 73018-2736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kadechuk, Laura Louise can be contacted via phone (405) 224-2100.

Contact Information

Primary practice address
2100 W Iowa Ave Suite A Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1947 Oklahoma

Profile Details

NPI number 1669775714
LBN Legal business name Kadechuk, Laura Louise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2010
Last updated Aug 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669775714 NPPES
Oklahoma MEDICAID 200317160A

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