Individual
LEONARD GRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8400
(270) 956-0180
Mailing address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8400
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.009114
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
KY
Enumeration date
09/11/2007
Last updated
09/11/2007
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