Mr Kevin Lee Grant, CRNA is a
Nurse Anesthetist, Certified Registered physician based in Ada, Oklahoma. Mr Kevin Lee Grant is licensed to practice in Oklahoma (license number R49499) and his current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 436-3980.
NPI number for Mr Kevin Lee Grant is 1861438012 and his current mailing address is 1921 Stonecipher Dr, Ada, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861438012.
Physician's Profile
| Full Name | Mr Kevin Lee Grant |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1921 Stonecipher Dr, Ada, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861438012
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 01/07/2015
Medical Identifiers
Medical identifiers for Mr Kevin Lee Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861438012 | NPI | - | NPPES |
| 100789110A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | R0049499 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R49499 (Oklahoma) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 643959 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin Lee Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kevin Lee Grant, CRNA
1921 Stonecipher Dr,
Ada, OK 74820-3439
Ph: (580) 436-3980 | Mr Kevin Lee Grant, CRNA
1921 Stonecipher Dr,
Ada, OK 74820-3439
Ph: (580) 436-3980 |
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