Individual
DR. GRANT KEVIN DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 884-0331
Mailing address
12420 SW GRACLYN CT, LAWTON, OK 73505-6009
(580) 884-0331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8573
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
8573
OK
Other
Enumeration date
09/17/2021
Last updated
10/27/2025
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