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Individual

ANASTASSIA GRIGORIEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
340 THOMAS MORE PKWY STE 220, CRESTVIEW HILLS, KY 41017-5101
(859) 301-2211
(859) 301-2511
Mailing address
340 THOMAS MORE PKWY STE 220, CRESTVIEW HILLS, KY 41017-5101
(859) 301-2211
(859) 301-2511

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.134847
OH
207L00000X
Anesthesiology Physician
Primary
52099
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
554415700
MD
Enumeration date
12/11/2007
Last updated
06/17/2019
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