Female

Dr. Kathleen B. Grissett MD

Psychiatry Physician in Orange Park, FL(View on Map)

Full Name

Dr. Kathleen Brewer Grissett MD

NPI Number

1821170085

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/19/2006

Specialties

(Taxonomies)

Code

2084P0800X
2084P0804X

Primary Taxonomy

Yes
No

Licenses

State

Florida
South Carolina

License Number

ME100502
25835

Contact
Information

Purpose

Mailing
Location

Address

165 WELLS RD
165 WELLS RD

City

Orange Park
Orange Park

State

FL
FL

Postal Code

32073-3035
32073-3035

Country

US
US

Telephone Number

(904) 269-7200
(904) 269-7200

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/16/2013

Provider Address

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