Provider Demographics
NPI:1841452869
Name:GROSSMAN, KATE LAUREN (MD)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:LAUREN
Last Name:GROSSMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1705 EAST BROADWAY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-5844
Mailing Address - Country:US
Mailing Address - Phone:573-815-7118
Mailing Address - Fax:573-815-7116
Practice Address - Street 1:1705 EAST BROADWAY
Practice Address - Street 2:SUITE 280
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5844
Practice Address - Country:US
Practice Address - Phone:573-815-7118
Practice Address - Fax:573-815-7116
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2018-11-14
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Provider Licenses
StateLicense IDTaxonomies
IL125052956207R00000X, 208000000X
MO2015010967207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics