Individual
KELLEEN M GRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
111 S GRANT AVE, SUITE 350, COLUMBUS, OH 43215-4701
(614) 566-9809
(614) 566-8392
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14624-NP
OH
Other
Enumeration date
06/20/2013
Last updated
06/11/2019
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