Provider Demographics
NPI:1366061889
Name:LADNER, KAITLYN CHRISTIAN (DO)
Entity type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:CHRISTIAN
Last Name:LADNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1520 HIGHWAY 22 W
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9441
Mailing Address - Country:US
Mailing Address - Phone:985-773-1615
Mailing Address - Fax:985-773-1461
Practice Address - Street 1:1520 HIGHWAY 22 W
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9441
Practice Address - Country:US
Practice Address - Phone:985-773-1600
Practice Address - Fax:985-773-1461
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA334745207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine