Katana, Vienna Grayce

Katana, Vienna Grayce is an sole proprietor health care provider with primary practice located at 4664 N Penngrove Way Ste 100 , Meridian ID 83646-7442. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Katana, Vienna Grayce can be contacted via phone (208) 898-7467.

Contact Information

Primary practice address
4664 N Penngrove Way Ste 100 Meridian ID 83646-7442
Phone: (208) 898-7467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20A13629 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 13629 California

Profile Details

NPI number 1871832881
LBN Legal business name Katana, Vienna Grayce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2013
Last updated Jan 10th, 2025 - about last year

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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