Grigoryev, Kaitlin Rose

Grigoryev, Kaitlin Rose is an individual health care provider with primary practice located at N112W15415 Mequon Rd , Germantown WI 53022-3410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grigoryev, Kaitlin Rose can be contacted via phone (262) 250-7800.

Contact Information

Primary practice address
N112W15415 Mequon Rd Germantown WI 53022-3410
Phone: (262) 250-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13152 Wisconsin

Profile Details

NPI number 1619601770
LBN Legal business name Grigoryev, Kaitlin Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2022
Last updated Feb 15th, 2024 - about 2 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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