Provider Demographics
NPI:1992785786
Name:GRABILL, TWILA R (PA-C)
Entity type:Individual
Prefix:MRS
First Name:TWILA
Middle Name:R
Last Name:GRABILL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 804402
Mailing Address - Street 2:STE. 312
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-0402
Mailing Address - Country:US
Mailing Address - Phone:913-945-5614
Mailing Address - Fax:913-945-5617
Practice Address - Street 1:10787 NALL AVE
Practice Address - Street 2:STE. 310
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-0000
Practice Address - Country:US
Practice Address - Phone:913-945-6900
Practice Address - Fax:913-945-6970
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2010-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO110581363AM0700X
KS1500478363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOD23A134Medicare ID - Type Unspecified
MOS88585Medicare UPIN
MOJ61000005Medicare PIN