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Individual
DR. KELLY GRANNAN
Active
Individual
DR. KELLY GRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35136144
OH
208000000X
Pediatrics Physician
35136144
OH
208M00000X
Hospitalist Physician
Primary
35136144
OH
Other
Enumeration date
04/29/2015
Last updated
04/15/2019
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