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Individual

DR. KARL W GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5001 LAKE AVE, SAINT JOSEPH, MO 64504-1170
(162) 387-7888
Mailing address
PO BOX 803886, KANSAS CITY, MO 64180-3886
(816) 271-8265
(168) 232-2991

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-25402
KS
207Q00000X
Family Medicine Physician
Primary
2016008771
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336571900
MO
Enumeration date
08/06/2013
Last updated
11/20/2023
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