Individual
KRISTIE LEN LADNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1759 MEDICAL PARK DR, BILOXI, MS 39532-2154
(228) 806-1723
Mailing address
1759 MEDICAL PARK DR, BILOXI, MS 39532-2154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0812
MS
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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