Grissett, Kathleen Brewer

Grissett, Kathleen Brewer is an sole proprietor health care provider with primary practice located at 165 Wells Rd Suite 408, Orange Park FL 32073-3035. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Grissett, Kathleen Brewer can be contacted via phone (904) 269-7200.

Contact Information

Primary practice address
165 Wells Rd Suite 408 Orange Park FL 32073-3035
Phone: (904) 269-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 25835 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME100502 Florida

Profile Details

NPI number 1821170085
LBN Legal business name Grissett, Kathleen Brewer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Oct 16th, 2013 - about 11 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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