Gratz, Kim L.

Gratz, Kim L. is an individual health care provider with primary practice located at 2500 N State St H801, Department Of Psychiatry, Jackson MS 39216-4500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gratz, Kim L. can be contacted via phone (601) 815-6450.

Contact Information

Primary practice address
2500 N State St H801, Department Of Psychiatry Jackson MS 39216-4500
Phone: (601) 815-6450
Fax: (601) 984-4489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 48 831 Mississippi

Profile Details

NPI number 1598905218
LBN Legal business name Gratz, Kim L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2009
Last updated Jun 29th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598905218 NPPES
Mississippi Other 302I680217 MEDICARE PTAN

Popular Providers