Provider Demographics
NPI:1588954739
Name:KADLEC, STEVEN KADLEC (CPT, CES, PES)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:KADLEC
Last Name:KADLEC
Suffix:
Gender:M
Credentials:CPT, CES, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39690 BONAIRE WAY
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4001
Mailing Address - Country:US
Mailing Address - Phone:951-313-7792
Mailing Address - Fax:
Practice Address - Street 1:39690 BONAIRE WAY
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-4001
Practice Address - Country:US
Practice Address - Phone:951-313-7792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist