Kadlec, Gregory John

Kadlec, Gregory John is an individual health care provider with primary practice located at 800 Falls Ave Suite 2, Twin Falls ID 83301-3366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Kadlec, Gregory John can be contacted via phone (208) 734-6091.

Contact Information

Primary practice address
800 Falls Ave Suite 2 Twin Falls ID 83301-3366
Phone: (208) 734-6091
Fax: (208) 734-4654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X M2893 Idaho
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 7424 Nevada

Profile Details

NPI number 1306831045
LBN Legal business name Kadlec, Gregory John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 1st, 2011 - about 15 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 1306831045 NPPES
Idaho MEDICAID 002736202
Idaho MEDICAID 002736201
Idaho MEDICAID 002736200

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