Individual
KIMBERLY M MYGRANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 WABASH AVE, AKRON, OH 44307-2433
(330) 344-6000
Mailing address
224 W EXCHANGE ST, SUITE 220, AKRON, OH 44302-1704
(330) 344-7040
(330) 344-1714
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN295539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090646
AANA
OH
01
—
RN295539
RN LICENSE
OH
Enumeration date
10/08/2012
Last updated
10/08/2012
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