Provider Demographics
NPI:1528876836
Name:JOBLINSKI, KADE THOMAS
Entity type:Individual
Prefix:
First Name:KADE
Middle Name:THOMAS
Last Name:JOBLINSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 RIVER PLACE DR N
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-8225
Mailing Address - Country:US
Mailing Address - Phone:701-400-3517
Mailing Address - Fax:
Practice Address - Street 1:3260 RIVER PLACE DR N
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-8225
Practice Address - Country:US
Practice Address - Phone:701-400-3517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant