Individual provider · Type 1 NPI

Kenneth Edward Grant Jr., MD

Student in an Organized Health Care Education/Training Program · Orange, CA

NPI number 1841949518 Active

Practice location

1201 W La Veta Ave
Orange, CA 92868-4203

Call (714) 410-5947 Map

Mailing address

505 S Main St Ste 525
Orange, CA 92868-4553

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1841949518

Kenneth Edward Grant Jr., MD's National Provider Identifier is 1841949518, issued on Mar 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CA. The record was last updated on Mar 21, 2022.