# SEAN DEGRANDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477965820
- **Gender:** Man
- **Credential:** M.D, PH.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 53667 | KY | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 53667 | KY | Yes |

## Other

- **Enumeration date:** 05/20/2014
- **Last updated:** 08/26/2022