Individual
DR. MARK GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021019902
MO
208000000X
Pediatrics Physician
94-10515
KS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2023005641
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
9410515
KS
Other
Enumeration date
03/23/2021
Last updated
07/06/2023
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