Individual
KENYON JACOB GRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1 E 8TH ST APT 304, CHICAGO, IL 60605-5060
(513) 550-1739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1922567999
IL
207P00000X
Emergency Medicine Physician
90937
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
06/17/2022
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