Kephart, Grant David

Kephart, Grant David is an individual health care provider with primary practice located at St. Joseph'S Medical Center 1800 N. California St., Stockton CA 95204. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kephart, Grant David can be contacted via phone (209) 943-2000.

Contact Information

Primary practice address
St. Joseph'S Medical Center 1800 N. California St. Stockton CA 95204
Phone: (209) 943-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA95001045 California

Profile Details

NPI number 1043773070
LBN Legal business name Kephart, Grant David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2019
Last updated Jun 23rd, 2026 - about 5 months 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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