Provider Demographics
NPI:1114096070
Name:STAFFORD, LINDA K II
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:K
Last Name:STAFFORD
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10219 CEDARBROOKE LN
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4209
Mailing Address - Country:US
Mailing Address - Phone:913-449-6078
Mailing Address - Fax:
Practice Address - Street 1:10219 CEDARBROOKE LN
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-4209
Practice Address - Country:US
Practice Address - Phone:913-449-6078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies