Individual
CHANDRA GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-5144
Mailing address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-5144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2021030576
MO
Other
Enumeration date
01/27/2020
Last updated
09/10/2021
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