Grall, Kenneth John

Grall, Kenneth John is an individual health care provider with primary practice located at 600 Mary Street , Evansville IN 47747-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grall, Kenneth John can be contacted via phone (812) 450-2240.

Contact Information

Primary practice address
600 Mary Street Evansville IN 47747-0001
Phone: (812) 450-2240
Fax: (812) 450-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28191766A Indiana

Profile Details

NPI number 1568868511
LBN Legal business name Grall, Kenneth John
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2014
Last updated Aug 17th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568868511 NPPES
Kentucky MEDICAID 7100345910
Kentucky MEDICAID 201279980

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