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Individual

KEVIN D GRANT

Active
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Individual

KEVIN D GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
4301082117
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280948600
FL
01
30362
BLUECROSS BLUESHIELD
FL
01
316380
AVMED
FL
01
4609324
CIGNA
FL
01
9405150
AETNA
FL
Enumeration date
05/14/2007
Last updated
04/17/2026
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