KENNETH EDWARD GRANT

ORANGE, CA
NPI1841949518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-21
Last Update Date2022-03-21
Business Address
KENNETH EDWARD GRANT MD
1201 W LA VETA AVE
ORANGE, CA 92868-4203
Phone number: 714-410-5947
Mailing Address
KENNETH EDWARD GRANT MD
505 S MAIN ST STE 525
ORANGE, CA 92868-4553
Phone number: 714-456-5631