SearchOhio175T00000X

Grant Kirkwood, CDCA

NPI 1639610595 · on the registry since 2017 · sole proprietor

Practice

Address
158 W Main St
Andover, OH 44003
Phone
(216) 353-4723
Organisation at this address
Impact Recovery Services
Impact Recovery Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
101YA0400X
106S00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-05

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 Ohio