Individual
RODERICK LATHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6670
(913) 588-3365
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
556974
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2010
Last updated
07/31/2014
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