Grady, Kevin J
Grady, Kevin J is an sole proprietor health care provider with primary practice located at 25319 Little Mack Ave , Saint Clair Shores MI 48081-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Grady, Kevin J can be contacted via phone (586) 772-5550.Contact Information
Primary practice address
25319 Little Mack Ave
Saint Clair Shores MI 48081-3370
Phone: (586) 772-5550
Fax: (586) 772-1706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301049952 | Michigan |
Profile Details
| NPI number | 1821013723 |
|---|---|
| LBN Legal business name | Grady, Kevin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821013723 | NPPES |
| Michigan | MEDICAID | 1762697 | |
| Michigan | Other | 0E00425 |
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