Graytock, Kathleen M
Graytock, Kathleen M is an individual health care provider with primary practice located at 1660 Nw Professional Plz Suite K, Columbus OH 43220-3854. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Graytock, Kathleen M can be contacted via phone (614) 574-4774.Contact Information
Primary practice address
1660 Nw Professional Plz Suite K
Columbus OH 43220-3854
Phone: (614) 574-4774
Fax: (614) 457-4795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36002809G | Ohio |
Profile Details
| NPI number | 1952355034 |
|---|---|
| LBN Legal business name | Graytock, Kathleen M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2006 |
| Last updated | Nov 9th, 2010 - about 16 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 | 1952355034 | NPPES |
| Ohio | MEDICAID | 0932030 |
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