Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 2015023367 | MO |
Y | 213ES0000X | Sports Medicine | 2015023367 | MO |
NPI | 1235649211 |
---|---|
Provider Name | Sydni Marie Kaden |
First Address | Saint Joseph, MO 64503-1957 |
Second Address | Saint Joseph, MO 64507-2508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2017 |
Last Update Date | 04/10/2017 |