Individual
MS. KATHLEEN L GRANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325B KING ST, NORTHAMPTON, MA 01060-2370
(413) 625-9717
(413) 625-9329
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01104-3563
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57732
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019799
—
MA
Enumeration date
12/01/2006
Last updated
08/15/2019
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