Kenneth Douglas Grant
Rheumatology
874 American Pacific Dr
Henderson
, Nevada 89014-8800
Kenneth Douglas Grant
Rheumatology
874 American Pacific Dr
Henderson
, Nevada 89014-8800
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Kenneth Douglas Grant
- 1801 W Olympic Blvd # 2265
- Pasadena, CA
- Zip : 91199-0001
- Phone :
Second Address
- Kenneth Douglas Grant
- 874 American Pacific Dr
- Henderson, NV
- Zip : 89014-8800
- Fax : (702) 777-4822
- Phone : (702) 777-4809
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 9894 | NV |
National Provider Identifier
| NPI | 1093793796 |
|---|---|
| Provider Name | Kenneth Douglas Grant |
| First Address | Pasadena, CA 91199-0001 |
| Second Address | Henderson, NV 89014-8800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2006 |
| Last Update Date | 27/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C89075 | (02) | NV |
| EO286Z | (02) | NV |
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.