NPI 1104354984
Shaquille Grant
Practice location
- Address
- 804 Kellogg Ave, Ames, IA 50010-6234
- Phone
- (515) 233-4931
- Mailing address
- 420 Kellogg Ave, Ames, IA 50010-6226
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1104354984
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 May 2017
- Record last updated
- 2 Feb 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.