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KIMBERLY GRISWOLD

Other Service Providers Case Manager/Care Coordinator

Provider NPI: 1023568144

Provider Information:
 KIMBERLY  GRISWOLD 
Gender: F
Not Sole Proprietor

Practice Location:
6329 BLUE RIDGE BLVD SUITE A RAYTOWN, MO 64133-4880 US
Tel: 816-569-0453  Fax: 816-569-0480

Business Mailing Address:
6329 BLUE RIDGE BLVD SUITE A RAYTOWN, MO 64133-4880 US
Tel: 816-569-0453  Fax: 816-569-0480

NPI Information:
NPI: 1023568144
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N171M00000XOther Service Providers
Case Manager/Care Coordinator
N372500000XNursing Service Related Providers
Chore Provider
N3747P1801XNursing Service Related Providers
Technician
Y374U00000XNursing Service Related Providers
Home Health Aide
N376J00000XNursing Service Related Providers
Homemaker

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 374U00000X

Type:

Classification:



Definition:



MEDICAL JOBS MO - Page 1

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