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Individual

SEAN DEGRANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D, PH.D

Contact information

Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 578-5880
(859) 578-5881
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-8550
(859) 578-8551

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
53667
KY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
53667
KY

Other

Enumeration date
05/20/2014
Last updated
08/26/2022
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