Grimaldi, Tara Jill
Grimaldi, Tara Jill is an individual health care provider with primary practice located at 20930 W 151St , Olathe KS 66061. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grimaldi, Tara Jill can be contacted via phone (913) 782-2525.Contact Information
Primary practice address
20930 W 151St
Olathe KS 66061
Phone: (913) 782-2525
Fax: (913) 782-9307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04-32569 | Kansas |
Profile Details
| NPI number | 1043414105 |
|---|---|
| LBN Legal business name | Grimaldi, Tara Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Nov 7th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043414105 | NPPES |
| Kansas | MEDICAID | 200441540A |
Popular Providers
-
Frazier, Erin Richey
230 E Broadway , Louisville KY 40202-2026 -
Red Corn, Erica Jean
20930 W 151St St , Olathe KS 66061-7228 -
Murad, Samah Ribhi
17516 W 158Th St , Olathe KS 66062-6772 -
Bush, Emily M
407 S Clairborne Rd Ste 104 , Olathe KS 66062-1744 -
Patch, Shawna
824 W Frontier Ln , Olathe KS 66061-7216 -
Deroo, Mark Walter
23450 College Blvd , Olathe KS 66061-8702 -
Foss, Kallie Marie
20930 W 151St St , Olathe KS 66061-7228 -
Hettinger, Allison S
824 W. Frontier Lane , Olathe KS 66061