Grundy, Keisha Latia

Grundy, Keisha Latia is an individual health care provider with primary practice located at 43825 Michigan Ave , Canton MI 48188-2551. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Grundy, Keisha Latia can be contacted via phone (317) 523-4539.

Contact Information

Primary practice address
43825 Michigan Ave Canton MI 48188-2551
Phone: (317) 523-4539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X

Profile Details

NPI number 1730843368
LBN Legal business name Grundy, Keisha Latia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2021
Last updated Oct 29th, 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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