Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT CHARLES KIRKWOOD, CDCA
Active Sole ProprietorGRANT CHARLES KIRKWOOD, CDCA is a Peer Specialist healthcare provider located in ANDOVER, Ohio. NPI 1639610595 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · ANDOVER, OH
Registration Details
- NPI Number
- 1639610595
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2017 (9.3927875955448 yrs)
- Last Updated
- Dec 5, 2024
- Licenses
-
165555 (OH)000120 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
158 W MAIN STANDOVER, OH, 440039318Browse OH providers · Browse ZIP 44003
- Phone
- 2163534723
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in ANDOVER, OH
| Name | Credential | NPI |
|---|---|---|
| ARIANA GONZALEZ | — | 1053123174 |
| LUKE STECKI | — | 1518756352 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.