Kenneth Douglas Grant M.D.

NPI 1093793796 - Internal Medicine - 207RR0500X

NPI Details
NPI 1093793796
Gender Male
Enumeration Date 01/04/2006
Last Updated 07/06/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
874 AMERICAN PACIFIC DR
HENDERSON NV, 89014-8800, US
Phone (702) 777-4809
Fax (702) 777-4822
Business Location
874 AMERICAN PACIFIC DR
HENDERSON NV, 89014-8800, US
Phone (702) 777-4809
Fax (702) 777-4822
Toxanomy
Taxonomy Code 207RR0500X
License State Nevada
License Number 9894
Remove 1093793796 NPI Number
 

According to our database, Kenneth Douglas Grant M.D. NPI is 1093793796, taxonomy code is 207RR0500X and license number is 9894, license state is located at Nevada. Kenneth Douglas Grant M.D. physically located at 874 American Pacific Dr, Henderson NV, 89014-8800. NPI Number Kenneth Douglas Grant M.D. has the Individual type.

Sponsored links

1093793796 NPI number is provided on an as is basis without warranty of any kind. 1093793796 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Douglas Grant M.D. are for informational purposes only.