Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHLEEN MARY GRANT, M.D.
Active Sole ProprietorDR. KATHLEEN MARY GRANT, M.D. is a Addiction Medicine (Internal Medicine) healthcare provider located in OMAHA, Nebraska. NPI 1063594075 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · OMAHA, NE
Registration Details
- NPI Number
- 1063594075
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2006 (19.855541944535 yrs)
- Last Updated
- Jul 8, 2007
- License
-
18660 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4101 WOOLWORTH AVE11TH FLOOR SUDPOMAHA, NE, 681051850Browse NE providers · Browse ZIP 68105
- Phone
- 4024490679
- Fax
- 4029775684
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
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.