Healthcare Provider Details

I. General information

NPI: 1083534135
Provider Name (Legal Business Name): PALADIN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8113 PARK RIDGE DR
PARKVILLE MO
64152-3121
US

IV. Provider business mailing address

8113 PARK RIDGE DR
PARKVILLE MO
64152-3121
US

V. Phone/Fax

Practice location:
  • Phone: 913-269-1895
  • Fax:
Mailing address:
  • Phone: 913-269-1895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRYAN LIMER
Title or Position: OWNER
Credential: APRN
Phone: 913-269-1895