Individual
CARLA A SHAW-GRIDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2634
(816) 218-2500
(816) 421-7379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
113748
MO
Other
Enumeration date
04/14/2006
Last updated
07/09/2007
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