Individual
PHYLLIS KAY LADING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
161 WAHINGOTN STREET SUITE 1400, CONSHOHOCKEN, PA 19428
(484) 351-3237
Mailing address
8609 HOUSTON ST, LENEXA, KS 66227-2405
(913) 667-3358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1362685101
KS
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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