Grant, Kathleen Mary

Grant, Kathleen Mary is an sole proprietor health care provider with primary practice located at 4101 Woolworth Ave 11Th Floor Sudp, Omaha NE 68105-1850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Grant, Kathleen Mary can be contacted via phone (402) 449-0679.

Contact Information

Primary practice address
4101 Woolworth Ave 11Th Floor Sudp Omaha NE 68105-1850
Phone: (402) 449-0679
Fax: (402) 977-5684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 18660 Nebraska

Profile Details

NPI number 1063594075
LBN Legal business name Grant, Kathleen Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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