Grigsby, Keith Michael

Grigsby, Keith Michael is an individual health care provider with primary practice located at 3507 S 4Th St , Leavenworth KS 66048-5013. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grigsby, Keith Michael can be contacted via phone (913) 682-1000.

Contact Information

Primary practice address
3507 S 4Th St Leavenworth KS 66048-5013
Fax: (913) 682-6131
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5352 Kansas

Profile Details

NPI number 1891872875
LBN Legal business name Grigsby, Keith Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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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