Grinspun, Kenneth A

Grinspun, Kenneth A is an individual health care provider with primary practice located at 105 S Willow Ave , Cookeville TN 38501-4667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Grinspun, Kenneth A can be contacted via phone (931) 526-9518.

Contact Information

Primary practice address
105 S Willow Ave Cookeville TN 38501-4667
Phone: (931) 526-9518
Fax: (931) 372-0087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16020 Mississippi
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 55872 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD42863 Tennessee

Profile Details

NPI number 1902804198
LBN Legal business name Grinspun, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Dec 8th, 2021 - about 3 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 1902804198 NPPES
Tennessee Other 4228439 BCBS OF TN
Tennessee Other 00760204 BCBS OF TN
Tennessee Other 7835385 BCBS OF TN
Tennessee MEDICAID 1514485 BCBS OF TN

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