Search › Louisiana › 207Q00000X

Kirk Grantham, M.D

NPI 1023241403 · on the registry since 2009

Practice

Address
2530 Bert Kouns Loop
Suite 138
Shreveport, LA 71118
Phone
(318) 588-4726
Fax
(318) 900-7828
Organisation at this address
National Infusion Therapy, Llc
Wk Hyperbaric & Wound Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 1800 Irving Pl, Shreveport, LA

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
FL, LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana