Grady, Katrina Marie

Grady, Katrina Marie is an individual health care provider with primary practice located at 2 Wickersham St , Mangum OK 73554-9117. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Grady, Katrina Marie can be contacted via phone (580) 782-3337.

Contact Information

Primary practice address
2 Wickersham St Mangum OK 73554-9117
Fax: (580) 782-3339
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1891982872
LBN Legal business name Grady, Katrina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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