Individual
KAITLIN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
712388
NY
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
Update your record
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