Search › Wyoming › 1223G0001X
Grant Kollenborn
NPI 1548678758 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1315 Us-89, Suite 102
Jackson, WY 83001 - Phone
- (307) 733-4122
- Fax
- (307) 733-4164
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-07
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