Organization
KC REHAB DOCTORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA R LADESICH M.D. (PRESIDENT)
(913) 207-2189
Entity
Organization
Contact information
Practice address
2555 NORTERRE CIR, LIBERTY, MO 64068-3412
(816) 479-4793
(913) 825-6358
Mailing address
13103 W 54TH TER, SHAWNEE, KS 66216-4716
(913) 515-8826
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2006007778
MO
Other
Enumeration date
04/04/2012
Last updated
09/29/2023
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