Individual
HEATHER ANN GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1803 S RIDGEVIEW RD, OLATHE, KS 66062
(913) 829-0505
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-39547
KS
207Q00000X
Family Medicine Physician
94-08466
KS
Other
Enumeration date
06/27/2014
Last updated
07/21/2022
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