Individual
DR. PAMELA JO GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 SW LANE ST, TOPEKA, KS 66606-2487
(785) 354-5952
Mailing address
830 SW LANE ST, TOPEKA, KS 66606-2487
(785) 354-5952
(785) 354-5984
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
04-25791
KS
207VM0101X
Maternal & Fetal Medicine Physician
111304
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002417
MEDICARE PTAN
KS
05
—
100179790B
—
KS
Enumeration date
12/02/2005
Last updated
11/10/2025
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