Individual
KYLEE J LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1160 E OGDEN AVE STE 106, NAPERVILLE, IL 60563-2693
(331) 226-0315
(331) 226-0315
Mailing address
3832 GRASSMERE RD, NAPERVILLE, IL 60564-8234
(802) 782-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005152
IL
363AM0700X
Medical Physician Assistant
055-0030279
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000230
—
VT
Enumeration date
04/18/2006
Last updated
08/11/2025
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