MR. KEVIN THOMAS GRADY (NPI# 1952637266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952637266 |
| Entity Type | Individual |
| Full Name | MR. KEVIN THOMAS GRADY |
| Practice Address |
36 W Stafford Rd Stafford Springs CT 06076-1064 |
| Mailing Address |
33 Somers Hill Cir Somers CT 06071-1928 |
| Practice Telephone | 8606845523 |
| Practice Fax Number | 8607631313 |
| Mailing Telephone | 8607492020 |
| Mailing Fax Number | 8607631313 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
811 | CT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821013723 | Kevin J Grady | Internal Medicine | 25319 Little Mack Ave, Saint Clair Shores, MI 48081-3370 | 2006-07-12 |
| 1831168160 | Kevin Michael Grady | Physical Therapist | 1198 Smiley Ave, Cincinnati, OH 45240-1865 | 2006-03-17 |
| Street Address |
36 W STAFFORD RD |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465703 | Kimberly Maine Garrity | Social Worker | 56 Boyer Rd., Stafford Springs, CT 06076 | 2020-04-15 |
| 1912490202 | Lori Anne Belmont | Pharmacist | 87 W Stafford Rd, Stafford Springs, CT 06076 | 2018-06-11 |
| 1649656422 | Vernon E. Percy | Counselor | 25 Clearview Drive, Stafford Springs, CT 06076 | 2015-08-04 |
| 1952660854 | Kris Best | Mechanotherapist | 8 Middle River Drive, Body By Design Fitness Center, Stafford Springs, CT 06076 | 2012-05-11 |
| 1952689945 | Terry M. Eccles, Md, LLC | Nurse Practitioner | 72-ll West Stafford Road, Stafford Springs, CT 06076 | 2011-07-26 |
| 1063698090 | Christine B Anthony | Physical Therapist | 58a West Stafford Road, Stafford Springs, CT 06076 | 2008-01-22 |
| 1043421068 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 87-c West Stafford Springs Plaza, Route 190, Stafford Springs, CT 06076 | 2007-05-24 |
| 1922179340 | Stafford Dental Associates LLC | Dentist | 72 I West Stafford Road, Stafford Springs, CT 06076 | 2006-11-10 |
| 1447346010 | Andrea Estell | Counselor | 12 Lawson Rd., Union, CT 06076 | 2006-10-04 |
| 1811097249 | Maxi Drug Inc | Pharmacy | 87 C W Stafforoad Springs Road, Stafford Springs, CT 06076 | 2006-09-25 |
| Find all providers in zip 06076 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677481 | Ronald Haas Jr. | Technician/Technologist | 24 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-07-27 |
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1134754294 | Dorothy Reynolds | Technician/Technologist | 2480 Black Rock Tpk, Fairfield, CT 06825-2406 | 2020-03-10 |
| 1881228237 | Rene R Rivard | Technician/Technologist | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | 2020-02-25 |
| 1588203301 | Rebecca Eneida Soto | Technician/Technologist | 20 Pasco Drive Suit A, East Windsor, CT 06088 | 2019-12-26 |
| 1376007419 | Green Valley Optical, LLC | Technician/Technologist | 21 Putnam Pike, Dayville, CT 06241 | 2019-01-23 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1215480785 | George Hatsian | Technician/Technologist | 4 High Hill Cir, Weatogue, CT 06089-9728 | 2016-08-01 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
Please comment or provide details below to improve the information on MR. KEVIN THOMAS GRADY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.