Individual
MRS. KATHLEEN ELIZABETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2405 SHADELANDS DR STE 300, WALNUT CREEK, CA 94598-5906
(925) 939-8585
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5688
CA
Other
Enumeration date
01/31/2013
Last updated
10/19/2021
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