Individual provider · Type 1 NPI
Kathleen Mary Grant, MD
Addiction Medicine (Internal Medicine) Physician · Omaha, NE
Practice location
4101 Woolworth Ave, 11th Floor Sudp
Omaha, NE 68105-1850
Fax (402) 977-5684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | 18660 (NE) |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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About NPI 1063594075
Kathleen Mary Grant, MD's National Provider Identifier is 1063594075, issued on Oct 19, 2006. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Omaha, NE. The record was last updated on Jul 8, 2007.