Granberry, Kemoria Queenadel

Granberry, Kemoria Queenadel is an sole proprietor health care provider with primary practice located at 6200 Sw 73Rd St , South Miami FL 33143-4679. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Granberry, Kemoria Queenadel can be contacted via phone (786) 662-4000.

Contact Information

Primary practice address
6200 Sw 73Rd St South Miami FL 33143-4679
Phone: (786) 662-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS15939 Florida

Profile Details

NPI number 1639439896
LBN Legal business name Granberry, Kemoria Queenadel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2012
Last updated Jul 8th, 2020 - about 5 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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