Provider Demographics
NPI:1346079258
Name:LADD, LATOYA MONIQUE
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:MONIQUE
Last Name:LADD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3147 S 49TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-3782
Mailing Address - Country:US
Mailing Address - Phone:816-394-8997
Mailing Address - Fax:
Practice Address - Street 1:3147 S 49TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-3782
Practice Address - Country:US
Practice Address - Phone:816-394-8997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator