Individual provider · Type 1 NPI
McKenzie Grissom, MD
Student in an Organized Health Care Education/Training Program · Scottsville, KY
NPI number
1942051917
Active
Practice location
1360 Stovall Rd
Scottsville, KY 42164-8692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1942051917
McKenzie Grissom, MD's National Provider Identifier is 1942051917, issued on Mar 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scottsville, KY. The record was last updated on Mar 28, 2024.