# KELLY CARLBERG GRANER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578876116
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 01077262A | IN | — |
| 207X00000X | Orthopaedic Surgery Physician | 4301096543 | MI | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 01077262A | IN | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 63083 | WI | — |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/17/2025