Individual
KEREN GRIMALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13963 W 147TH ST, OLATHE, KS 66062-8859
(806) 252-2653
Mailing address
13963 W 147TH ST, OLATHE, KS 66062-8859
(806) 252-2653
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
102602
TX
235Z00000X
Speech-Language Pathologist
Primary
4732
KS
Other
Enumeration date
05/27/2016
Last updated
04/01/2024
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