Individual
LAKEN PAIGE TEDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 HOLMES ST, KANSAS CITY, MO 64108-2741
(816) 235-5412
(816) 235-5187
Mailing address
2411 HOLMES ST, KANSAS CITY, MO 64108-2741
(816) 235-5412
(816) 235-5187
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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