Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Leach Grantham, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1669611463

Kimberly Leach Grantham, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shreveport, Louisiana. Qualified in 2008, 18 years ago. Practices with Willis Knighton Medical Center Inc CRNA Group, a 97-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
18
Licensed in
LA
In the registry since
2009
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1171 Pelican Creek Dr
Shreveport, LA 71106-8539
Phone: (318) 780-0716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN097823-AP05716 (LA)

Record details

NPI number1669611463
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 18, 2009
Last updated in NPPESJune 5, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Willis Knighton Medical Center Inc Crna Group — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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