Provider Demographics
NPI:1386391720
Name:GILROY, GRACE KELLY (CNM)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:KELLY
Last Name:GILROY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1551 NW 38TH ST APT 302
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4573
Mailing Address - Country:US
Mailing Address - Phone:660-596-3253
Mailing Address - Fax:
Practice Address - Street 1:9209 W 110TH ST BLDG 36
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1401
Practice Address - Country:US
Practice Address - Phone:913-735-4888
Practice Address - Fax:888-927-5843
Is Sole Proprietor?:No
Enumeration Date:2022-03-06
Last Update Date:2022-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS160648367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife