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Search › Wyoming › 363A00000X

Kaylun Grandy, PA-C

NPI 1467950154 · on the registry since 2018

Practice

Address
1952 Harrison Drive
Evanston, WY 82930
Phone
(307) 382-3064
Organisation at this address
Sterling Provider Group
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 250 Country Club Pkwy, Spring Creek, NV
  • 2761 Commercial Way, Rock Springs, WY
  • 47 Doc Perkes Rd, Afton, WY
  • 250 Country Club Pkwy, Spring Creek, NV

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming