Kathleen Mary Grant M.D.

NPI 1063594075 - Internal Medicine - 207RA0401X

NPI Details
NPI 1063594075
Gender Female
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4101 WOOLWORTH AVE
11TH FLOOR SUDP
OMAHA NE, 68105-1850, US
Phone (402) 449-0679
Fax (402) 977-5684
Business Location
4101 WOOLWORTH AVE
11TH FLOOR SUDP
OMAHA NE, 68105-1850, US
Phone (402) 449-0679
Fax (402) 977-5684
Toxanomy
Taxonomy Code 207RA0401X
License State Nebraska
License Number 18660
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According to our database, Dr. Kathleen Mary Grant M.D. NPI is 1063594075, taxonomy code is 207RA0401X and license number is 18660, license state is located at Nebraska. Kathleen Mary Grant M.D. physically located at 4101 Woolworth Ave, Omaha NE, 68105-1850. NPI Number Kathleen Mary Grant M.D. has the Individual type.

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1063594075 NPI number is provided on an as is basis without warranty of any kind. 1063594075 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Mary Grant M.D. are for informational purposes only.