Grady, Kathleen T
Grady, Kathleen T is an individual health care provider with primary practice located at 960 Clague Rd Suite 1850, Westlake OH 44145-1582. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grady, Kathleen T can be contacted via phone (440) 808-9228.Contact Information
Primary practice address
960 Clague Rd Suite 1850
Westlake OH 44145-1582
Phone: (440) 808-9228
Fax: (440) 808-9234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036113546 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.121961 | Ohio |
Profile Details
| NPI number | 1790842656 |
|---|---|
| LBN Legal business name | Grady, Kathleen T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Dec 29th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790842656 | NPPES |
| Ohio | MEDICAID | 0091990 |
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