Provider Demographics
NPI:1427564756
Name:LARTEY HARDEMAN, KIMBERLY (JD, CPM, CD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:LARTEY HARDEMAN
Suffix:
Gender:F
Credentials:JD, CPM, CD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:LARTEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JD, CPM, CD
Mailing Address - Street 1:5824 E 40TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64129-1714
Mailing Address - Country:US
Mailing Address - Phone:816-791-7239
Mailing Address - Fax:
Practice Address - Street 1:4705 NEBRASKA AVENUE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102
Practice Address - Country:US
Practice Address - Phone:816-695-2998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-22
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula