Individual
KELLY GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 KEENER WAY, APARTMENT C6, GREENSBURG, PA 15601-4462
(724) 834-2534
Mailing address
719 KEENER WAY, APARTMENT C6, GREENSBURG, PA 15601-4462
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9961159
PA
Other
Enumeration date
08/17/2007
Last updated
02/13/2009
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