Kristen Elaine Grant, PAC

NPI #1851322242 in Tallmadge, Ohio

Provider Information

NPI Number: 1851322242
Entity Type: Individual
Name: Kristen Elaine Grant, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 5, 2006
Last Updated: Dec 28, 2020

Practice Location

Address: 145 WEST AVE
City: Tallmadge
State: Ohio
ZIP Code: 44278-2250
Phone: (330) 633-8341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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