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Contact Information

MICHAEL J GRANT, DPM
2865 CHANCELLOR DR STE 205
CRESTVIEW HILLS, KY41017-3931
 Phone: 859-341-9900
 Fax: 859-341-1649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL J GRANT · (Male)

NPI Number 1306940408
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/11/2006
Last updated 03/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 244156
  • KY License # K237
  • OH License # 36003524
  • KY Medicaid 80002371
  • KY Other 000000304180 BLUES
  • KY Other 4949440001 MDCR DMERC
  • OH Other 000000636981 ANTHEM BCBS
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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