Individual
CELESTE A TARANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3665
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
04-31071
KS
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
R2P86
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203071105
—
MO
Enumeration date
05/01/2006
Last updated
12/18/2025
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