Provider Demographics
NPI:1174720148
Name:GRIFFETH, ERIN CHRISTINE-NOEL (DO)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:CHRISTINE-NOEL
Last Name:GRIFFETH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20607 W 88TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-3367
Mailing Address - Country:US
Mailing Address - Phone:785-218-9396
Mailing Address - Fax:
Practice Address - Street 1:20607 W 88TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66220-3367
Practice Address - Country:US
Practice Address - Phone:785-218-9396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-33473207P00000X, 207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine