Individual
KATHLEEN M GRAYTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1660 NW PROFESSIONAL PLZ, SUITE K, COLUMBUS, OH 43220-3854
(614) 574-4774
(614) 457-4795
Mailing address
1660 NW PROFESSIONAL PLZ, SUITE K, COLUMBUS, OH 43220-3854
(614) 574-4774
(614) 457-4795
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002809G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0932030
—
OH
Enumeration date
05/21/2006
Last updated
11/09/2010
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