Individual
GRANT R. VAN SCOYOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3651 COLLEGE BLVD, LEAWOOD, KS 66211-1910
(913) 338-4100
(913) 428-2951
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-89164-042
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
556890
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200619700A
—
KS
01
—
P00743805
RR MEDICARE
KS
Enumeration date
05/21/2009
Last updated
04/21/2026
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