Individual
DR. LADIJAH IMANI SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 W 47TH ST, KANSAS CITY, MO 64112-1377
(816) 931-2191
Mailing address
PO BOX 2, ELKHORN, NE 68022-0002
(405) 772-0282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2026011892
MO
122300000X
Dentist
Primary
7969
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2023
Last updated
03/24/2026
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