Provider Demographics
NPI:1982917308
Name:GRANT, ANNE BALDWIN (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:BALDWIN
Last Name:GRANT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5418 NEOSHO AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2450
Mailing Address - Country:US
Mailing Address - Phone:913-709-0984
Mailing Address - Fax:
Practice Address - Street 1:5418 NEOSHO AVE
Practice Address - Street 2:
Practice Address - City:FAIRWAY
Practice Address - State:KS
Practice Address - Zip Code:66205-2450
Practice Address - Country:US
Practice Address - Phone:913-709-0984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2188231H00000X
KS1476231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist