Grant David Kephart, CRNA
NPI #1043773070 in Stockton, California
Provider Information
- NPI Number
- 1043773070
- Entity Type
- Individual
- Name
- Grant David Kephart, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Apr 8, 2019
- Last Updated
- Apr 8, 2019
Practice Location
- Address
- ST. JOSEPH'S MEDICAL CENTER
- Address 2
- 1800 N. CALIFORNIA ST.
- City
- Stockton
- State
- California
- ZIP Code
- 95204
- Phone
- (209) 943-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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