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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114997095 | NPPES |
South Carolina | MEDICAID | T59228 |
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