Provider Demographics
NPI:1275682734
Name:GROSVENOR, KAY ALLYSON (NP)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:ALLYSON
Last Name:GROSVENOR
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Gender:F
Credentials:NP
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Mailing Address - Street 1:22455 MAPLE CT
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4031
Mailing Address - Country:US
Mailing Address - Phone:510-690-9861
Mailing Address - Fax:888-300-9205
Practice Address - Street 1:22455 MAPLE CT
Practice Address - Street 2:SUITE 304
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4031
Practice Address - Country:US
Practice Address - Phone:510-690-9861
Practice Address - Fax:888-300-9205
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2011-06-07
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Provider Licenses
StateLicense IDTaxonomies
CANP16866363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health