Individual
JUDITH LEE THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
599 ARMOUR RD, NORTH KANSAS CITY, MO 64116-3513
(816) 421-0750
Mailing address
PO BOX 205, 700 MAIN STREET, FARLEY, MO 64028-0205
(816) 330-4175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
31321
MO
208D00000X
General Practice Physician
Primary
31321
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31321
MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
03/28/2006
Last updated
12/30/2014
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