Individual
GRACE THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6675 HOLMES RD STE 501, KANSAS CITY, MO 64131-1150
(816) 276-7636
Mailing address
6675 HOLMES RD STE 501, KANSAS CITY, MO 64131-1150
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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