Grayem, Kristene K

Grayem, Kristene K is an individual health care provider with primary practice located at 1 Perkins Sq , Akron OH 44308-1063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Grayem, Kristene K can be contacted via phone (330) 543-8050.

Contact Information

Primary practice address
1 Perkins Sq Akron OH 44308-1063
Phone: (330) 543-8050
Fax: (330) 543-8054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X COA.03993-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X COA.03990-NS Ohio

Profile Details

NPI number 1407889496
LBN Legal business name Grayem, Kristene K
Credentials C.N.S., C.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407889496 NPPES
Ohio MEDICAID 2074928

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