Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lateasha C Jackson

Individual provider Prosthetics Case Management · NPI 1952766354

Lateasha C Jackson is a Prosthetics Case Management in Kansas City, Kansas. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

1110 N 47th St
Kansas City, KS 66102-1702
Phone: (913) 709-1122
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Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X

Record details

NPI number1952766354
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2015
Last updated in NPPESDecember 29, 2015

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