Kaylun Grandy, PA-C

NPI #1467950154 in Evanston, Wyoming

Provider Information

NPI Number
1467950154
Entity Type
Individual
Name
Kaylun Grandy, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 27, 2018
Last Updated
Jul 23, 2020

Practice Location

Address
1952 HARRISON DRIVE
State
Wyoming
ZIP Code
82930-3241
Phone
(307) 382-3064

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant

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