# KC REHAB DOCTORS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255697108
- **Authorized official:** LINDA R LADESICH M.D. (PRESIDENT)
- **Authorized official phone:** (913) 207-2189

## Contact information

- **Practice address:** 2555 NORTERRE CIR, LIBERTY, MO 64068-3412
- **Practice address phone:** (816) 479-4793
- **Practice address fax:** (913) 825-6358
- **Mailing address:** 13103 W 54TH TER, SHAWNEE, KS 66216-4716
- **Mailing address phone:** (913) 515-8826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2006007778 | MO | Yes |

## Other

- **Enumeration date:** 04/04/2012
- **Last updated:** 09/29/2023