Individual
KEVIN D GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30575 WOODWARD AVE, ROYAL OAK, MI 48073-0980
(248) 280-8550
(844) 266-0093
Mailing address
26211 CENTRAL PARK BLVD STE 201, SOUTHFIELD, MI 48076-4158
(833) 667-3627
(833) 972-5509
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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