Mr Kevin Lee Grant, CRNA - Nurse Anesthetist, Certified Registered in Ada, OK

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.

Contact Information

Mr Kevin Lee Grant, CRNA
1921 Stonecipher Dr,
Ada, OK 74820-3439
(580) 436-3980
(580) 421-6283



Physician's Profile

Full NameMr Kevin Lee Grant
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  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.
IdentifierTypeStateIssuer
1861438012NPI-NPPES
100789110AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology R0049499 (Oklahoma)Secondary
367500000XNurse Anesthetist, Certified Registered R49499 (Oklahoma)Primary
367500000XNurse 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 AddressPractice 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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