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Individual
DR. KENNETH FRED GRANT
Active
Individual
DR. KENNETH FRED GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21834
SC
207ZB0001X
Blood Banking & Transfusion Medicine Physician
21834
SC
207ZC0500X
Cytopathology Physician
21834
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21834
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T59228
—
SC
Enumeration date
01/24/2006
Last updated
08/07/2013
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