DR. GREGORY JOHN KADLEC MD NPI 1306831045

NPI Information

NPI: 1306831045
Provider Name: DR. GREGORY JOHN KADLEC, MD
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

Address:
800 FALLS AVE
SUITE 2
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-6091
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DR. Gregory John Kadlec, MD is an allergy allergy immunology in Twin Falls, ID. DR. Gregory John Kadlec, MD NPI is 1306831045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 FALLS AVE
SUITE 2
TWIN FALLS, ID
ZIP 83301-366
Phone: (208) 734-6091
Fax: (208) 734-4654

The enumeration date for this NPI number is 9/20/2005 and was last updated on 11/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	7424	NEVADA	No
2	207KA0200X	Allergy & Immunology	Allergy	M2893	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B63132	MEDICARE UPIN	IDAHO
2	1107454	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	TF OFFICE
3	002736201	MEDICAID	IDAHO
4	1107456	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	HAILEY OFFICE
5	002736202	MEDICAID	IDAHO
6	1107455	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	BURLEY OFFICE
7	002736200	MEDICAID	IDAHO
8	38577	MEDICARE ID-TYPE UNSPECIFIED	NEVADA	ELKO OFFICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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