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DR. KATHLEEN MARY GRANT M.D.
NPI 1063594075
Internal Medicine - Addiction Medicine in Omaha, NE

Active since October 19, 2006
4101 WOOLWORTH AVE, 11TH FLOOR SUDP, OMAHA, NE 68105(402) 449-0679(402) 977-5684 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathleen Mary Grant M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN MARY GRANT M.D. (NPI 1063594075) is an individual addiction medicine provider in Omaha, Nebraska, licensed in Nebraska (18660) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063594075
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameDR. KATHLEEN MARY GRANTCredential: M.D.
Location Address4101 WOOLWORTH AVE, 11TH FLOOR SUDPOmaha, NE 68105-1850
Mailing Address4101 Woolworth Ave, 11th Floor SudpOmaha, NE 68105-1850 · (402) 449-0679 · Fax (402) 977-5684
Phone(402) 449-0679
Fax(402) 977-5684
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063594075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in NE · 18660
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
4101 WOOLWORTH AVE, Omaha, NE 68105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RUHIYYIH YOLAINE DEHART
Pharmacy Technician
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 955-5203
CARRIE KUBICEK RN,BSN, OCN
Registered Nurse (Infusion Therapy)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5342
DARCY RAE BOGER RN
Registered Nurse (Critical Care Medicine)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5151
MS. SHERI LYNN PLUGGE R.D.
Dietitian, Registered
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 346-8800
RUBEN DARIO PULIDO PH.D.
Psychologist
4101 WOOLWORTH AVE, MAIL CODE 116A1
OMAHA, NE 68105
Douglas County (402) 995-3490
LACEY HOBUS
Social Worker (Clinical)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-3250
MADALYN JOHNSON
Physician Assistant
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5253
MRS. DAWNETTE LYNN BREDBERG A-GPCNP, APRN
Nurse Practitioner (Adult Health)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Grant's NPI number?

The NPI number for Kathleen Grant is 1063594075. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Kathleen Grant located?

Kathleen Grant practices at 4101 Woolworth Ave 11th Floor Sudp, Omaha, NE 68105. The listed phone number is (402) 449-0679.

What is Kathleen Grant's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Kathleen Grant was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.