Individual provider · Type 1 NPI
Kelly Grass
Specialist · Watertown, NY
NPI number
1437554987
Active
Practice location
449 Cross St
Watertown, NY 13601-3214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 815084141 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1437554987
Kelly Grass's National Provider Identifier is 1437554987, issued on Oct 27, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Watertown, NY. The record was last updated on Oct 27, 2014.