Individual
KATHLEEN T GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
960 CLAGUE RD, SUITE 1850, WESTLAKE, OH 44145-1582
(440) 808-9228
(440) 808-9234
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 808-9228
(440) 808-9234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036113546
IL
208000000X
Pediatrics Physician
Primary
35.121961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091990
—
OH
Enumeration date
01/02/2007
Last updated
12/29/2020
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