Individual
JONATHAN KERN GRAINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-7000
(859) 212-7010
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-7000
(859) 212-7010
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57-017658
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
01080200A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
48505
KY
208VP0014X
Interventional Pain Medicine Physician
35.123794
OH
208VP0014X
Interventional Pain Medicine Physician
TP529
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100370800
—
KY
Enumeration date
04/13/2010
Last updated
08/26/2022
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