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Contact Information

KEVIN L GRANT, C.R.N.A.
1921 STONECIPHER DR
ADA, OK74820-3439
 Phone: 580-436-3980
 Fax: 580-421-6283
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KEVIN L GRANT · (Male)

NPI Number 1861438012
Status Active
Credentials C.R.N.A.
Entity Individual
Enumeration date 06/22/2006
Last updated 01/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OK License # R0049499
  • OK License # R49499
  • TX License # 643959
  • OK Medicaid 100789110A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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