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KAYLUN GRANDY PA-C

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1467950154
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
1952 HARRISON DRIVE, EVANSTON, WY, 829303241
Phone
(307) 382-3064

Specialties & Taxonomies

Physician Assistant, Medical License: NV #PA1934
Physician Assistant Primary

All Addresses

MAILING

740 S WOODRUFF AVE

IDAHO FALLS, ID, 834015285

(208) 542-9111

LOCATION

1952 HARRISON DRIVE

EVANSTON, WY, 829303241

(307) 382-3064