Individual
DR. KEVIN GRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 246-7000
(513) 246-7590
Mailing address
4600 WESLEY AVE, STE N, CINCINNATI, OH 45212-2298
(513) 246-7896
(513) 246-7855
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35052386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O611985
—
OH
Enumeration date
06/05/2006
Last updated
01/21/2014
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