Individual
KATHLEEN GRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, APRN
Contact information
Practice address
622 HEMPHILL ST, FORT WORTH, TX 76104-3179
(817) 878-2737
Mailing address
12240 LAMINGTON DR, FORT WORTH, TX 76244-7563
(817) 789-2088
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
99214
TX
367A00000X
Advanced Practice Midwife
Primary
—
TX
374J00000X
Doula
—
—
Other
Enumeration date
02/27/2012
Last updated
09/19/2023
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