RODERICK LATHON

KANSAS CITY, KS
NPI1275853996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  556974)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-06-03
Last Update Date2014-07-31
Business Address
RODERICK LATHON
3901 RAINBOW BLVD
KANSAS CITY, KS 66160-8500
Phone number: 913-588-6670
Mailing Address
RODERICK LATHON
PO BOX 411851
KANSAS CITY, MO 64141-1851
Phone number: 913-588-6670