Grant, Kenneth Fred

Grant, Kenneth Fred is an individual health care provider with primary practice located at 1 Science Ct Suite 200, Columbia SC 29203-9344. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Grant, Kenneth Fred can be contacted via phone (803) 252-1913.

Contact Information

Primary practice address
1 Science Ct Suite 200 Columbia SC 29203-9344
Phone: (803) 252-1913
Fax: (803) 252-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21834 South Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 21834 South Carolina
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 21834 South Carolina
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 21834 South Carolina

Profile Details

NPI number 1114997095
LBN Legal business name Grant, Kenneth Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 7th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114997095 NPPES
South Carolina MEDICAID T59228

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