Dr. Kathleen Mary Grant
Internist - Addiction Medicine
4101 Woolworth Ave 11th Floor Sudp
Omaha
, Nebraska 68105-1850
Dr. Kathleen Mary Grant
Internist - Addiction Medicine
4101 Woolworth Ave 11th Floor Sudp
Omaha
, Nebraska 68105-1850
(402) 977-5684
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Kathleen Mary Grant
- 4101 Woolworth Ave 11th Floor Sudp
- Omaha, NE
- Zip : 68105-1850
- Fax : (402) 977-5684
- Phone : (402) 449-0679
Second Address
- Dr. Kathleen Mary Grant
- 4101 Woolworth Ave 11th Floor Sudp
- Omaha, NE
- Zip : 68105-1850
- Fax : (402) 977-5684
- Phone : (402) 449-0679
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 18660 | NE |
National Provider Identifier
| NPI | 1063594075 |
|---|---|
| Provider Name | Dr. Kathleen Mary Grant |
| First Address | Omaha, NE 68105-1850 |
| Second Address | Omaha, NE 68105-1850 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.