Provider Demographics
NPI:1346690690
Name:DDD, LTD
Entity Type:Organization
Organization Name:DDD, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEIDRE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:DEGRADO
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:316-371-0707
Mailing Address - Street 1:105 S ANDOVER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7920
Mailing Address - Country:US
Mailing Address - Phone:316-371-0707
Mailing Address - Fax:316-252-1244
Practice Address - Street 1:105 S ANDOVER RD
Practice Address - Street 2:SUITE A
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7920
Practice Address - Country:US
Practice Address - Phone:316-371-0707
Practice Address - Fax:316-252-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty