Kadeg, Larry J

Kadeg, Larry J is an individual health care provider with primary practice located at 400 S 43Rd St Er Dept, Renton WA 98055-5714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Kadeg, Larry J can be contacted via phone (425) 228-3450.

Contact Information

Primary practice address
400 S 43Rd St Er Dept Renton WA 98055-5714
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00020881 Washington

Profile Details

NPI number 1326056771
LBN Legal business name Kadeg, Larry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated May 17th, 2012 - about 12 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 1326056771 NPPES
Washington MEDICAID 1003235
Washington Other 185271
Washington Other KA2130

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