Individual
KAITLYN MCKENZIE GRANTONIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(330) 519-0017
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(330) 519-0017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.444533
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0021355
OH
Other
Enumeration date
07/29/2024
Last updated
06/25/2025
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