MEDICARE: LATRINA RAYFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker		MO

General Provider Information

NPI Number	:	1316316524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATRINA RAYFIELD

Provider Business Mailing Address
First Line	:	PO BOX 24514
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-0514
Country	:	US
Telephone Number	:	816-686-2940
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 E 73RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1860
Country	:	US
Telephone Number	:	816-686-2940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2015
Last Update Date	:	09/17/2015

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Directions to “ LATRINA RAYFIELD ” Practice Location

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