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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952355034 NPPES
Ohio MEDICAID 0932030

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