Search › Washington › 101Y00000X
Kenrodric Grissom
NPI 1457088106 · on the registry since 2022
Practice
- Address
- 100 23rd Ave S
Seattle, WA 98144 - Phone
- (206) 849-0614
- Organisation at this address
- Catholic Community Services Of Western Washington
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2022-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington