KELLY GRANT


Address: 43825 Michigan Ave, Canton, MI 48188-2551
Phone: 7343973088

KELLY GRANT (NPI# 1710386891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710386891
Entity Type Individual
Full Name KELLY GRANT
Practice Address 43825 Michigan Ave
Canton
MI 48188-2551
Practice Telephone 7343973088
Practice Fax Number 7343970078
Mailing Telephone 7343973088
Mailing Fax Number 7343970078
Enumeration Date 2014-08-14
Last Update Date 2014-09-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
4704191116 MI Nursing Service Providers

Other Providers KELLY GRANT

NPI Name Taxonomy Address Enumeration
1871958116 Kelly Grant Day Training, Developmentally Disabled Services 3311 Colby Rd Ste I, Whitehall, MI 49461-9289 2015-12-30
1871619072 Kelly Grant Physical Therapist 2988 Eaton Rd, Shaker Heights, OH 44122-2516 2007-03-21
1649274002 Kelly Kirkman Grant Nurse Practitioner 510 N Elam Ave Ste 202, Greensboro, NC 27403-1177 2005-06-13
1235760687 Kelly Ann Grant Occupational Therapy Assistant 1204 Greensburg St, Columbia, KY 42728-1811 2020-02-03
1285128181 Kelly Nagel Grant Nurse Practitioner 19176 Hall Rd, Clinton Township, MI 48038 2018-06-15
1790161198 Kelly Grant Behavioral Analyst 4575 Se Dixie Hwy, Stuart, FL 34997-6826 2015-08-07
1194042721 Kelly Grant General Practice 359 Middlefield Rd, Palo Alto, CA 94301-1345 2010-04-21
1720296817 Kelly Katherine Grant Emergency Medicine 101 E Wood St, Spartanburg, SC 29303-3040 2007-05-20

Office Location

Street Address 43825 MICHIGAN AVE
City CANTON
State MI
Zip Code 48188-2551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841248176 Julia Oliver Counselor 43825 Michigan Ave, Canton, MI 48188-2551 2006-05-05
1275130858 Dawn Nichol Goldberg Registered Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2020-10-06
1902411259 Mamoona Hameed Khan Registered Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2020-09-14
1932711652 Renee N/a Pollard Registered Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2020-08-24
1932710209 Anthony J Dondero Student in an Organized Health Care Education/Training Program 43825 Michigan Ave, Canton, MI 48188-2551 2020-08-11
1881212777 Michael Lee Rosewood Social Worker 43825 Michigan Ave, Canton, MI 48188-2551 2020-07-08
1104454537 Chelsea Compton Social Worker 43825 Michigan Ave, Canton, MI 48188-2551 2020-03-31
1275169930 Marcelle Schneider Peer Specialist 43825 Michigan Ave, Canton, MI 48188-2551 2020-03-13
1144855115 Brandy Ann Chappell Licensed Practical Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2020-03-10
1104458819 Lindsey Anne Smith Licensed Practical Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2020-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437766425 Kesha Glimps Home Health Aide 513 Cherry Orchard, Canton, MI 48188 2020-09-24
1881222578 Darlenda Knuckles Licensed Practical Nurse 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 2020-03-30
1023646049 Nikeyta Catrice Evans Licensed Practical Nurse 43825 Michign Ave Suite 2, Canton, MI 48188 2020-03-27
1013473925 Yen Do Ruiz Pharmacist 41460 Haggerty Circle South, Canton, MI 48188 2019-02-15
1366938607 Abidi Mehdi Medical, Pllc Internal Medicine 44237 Michigan Avenue, Canton, MI 48188 2018-07-10
1720589427 Audrey Imbur Physical Therapist 4111 S. Canton Center Rd, Canton, MI 48188 2018-02-27
1639687700 Tanveer Hussain Physical Therapist 3439 Brooklyn Dr, Canton, MI 48188 2018-01-11
1376054833 Cherry Hill Village Pharmacy LLC Pharmacy 50429 Independence St, Canton, MI 48188 2017-10-23
1396262101 Enid Alexandra Moore Social Worker 40946 Crossbow Cir, Apt 201, Canton, MI 48188 2017-08-23
1922520865 Marc Slotnick Peer Specialist 43825 Michigan Ave., Canton, MI 48188 2017-07-12
Find all providers in zip 48188

Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366049215 Molly Rose Kathleen Davis Registered Nurse 2600 6th St Sw, Canton, OH 44710-1702 2020-10-05
1932711652 Renee N/a Pollard Registered Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2020-08-24
1427660596 Larry Scott Fitzgerald Registered Nurse 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 2020-08-20
1932734167 Bonny Jeanne Jarvis Registered Nurse 2600 6th St Sw, Canton, OH 44710-1702 2020-03-09
1013568633 Vanessa Lynn Sanders Registered Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2019-09-25
1184163669 Karla Monte Registered Nurse 625 Cleveland Ave Nw, Canton, OH 44702-1805 2017-02-17
1215383872 Karen Maxon Registered Nurse 1341 Market Ave N, Canton, OH 44714-2605 2016-05-12
1629438700 Kathleen Coladonato Registered Nurse 1341 Market Ave N, Canton, OH 44714-2605 2016-03-02
1477912582 Kathleen Tawney Registered Nurse 1341 Market Ave N, Canton, OH 44714-2605 2016-02-17
1861870727 Terrie Batdorff Registered Nurse 1341 Market Ave N, Canton, OH 44714-2605 2015-05-12
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 48188

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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