DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIRK ANTHONY GRANTHAM, M.D.

Active

DR. KIRK ANTHONY GRANTHAM, M.D. is a Family Medicine healthcare provider located in SHREVEPORT, Louisiana. NPI 1023241403 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHREVEPORT, LA

Registration Details

NPI Number
1023241403
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2009 (16.95491500832 yrs)
Last Updated
Jun 8, 2021
Licenses
TRN 14355 (FL)
MD.205467 (LA)

Practice Information

Address
2530 BERT KOUNS LOOP
SUITE 138
SHREVEPORT, LA, 711183132
Browse LA providers · Browse ZIP 71118
Phone
3185884726
Fax
3189007828
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SHREVEPORT, LA

Name Credential NPI
DR. MICHAEL O FLEMING MD 1184627986
DR. EUGENE BENSON SCOTT II MD 1437153228
DR. MARION N CASH MD 1881699353
DR. RICKY L JONES MD 1598760076
SHERIN HANNA MERCER MD 1659376143
THERESA L RINDERLE MD 1083619589
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.