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Individual

KIMBERLY GRISWOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6329 BLUE RIDGE BLVD, SUITE A, RAYTOWN, MO 64133-4880
(816) 569-0453
(816) 569-0480
Mailing address
229 SE TOPAZ DR STE A, LEES SUMMIT, MO 64063-5138
(816) 313-2211

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
372500000X
Chore Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Enumeration date
10/13/2016
Last updated
04/17/2025
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