Individual provider · Type 1 NPI
Kelly Grant
Addiction (Substance Use Disorder) Registered Nurse · Canton, MI
NPI number
1710386891
Active
Practice location
43825 Michigan Ave
Canton, MI 48188-2551
Fax (734) 397-0078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 4704191116 (MI) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
133 other providers at this address
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About NPI 1710386891
Kelly Grant's National Provider Identifier is 1710386891, issued on Aug 14, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Canton, MI. The record was last updated on Sep 2, 2014.