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Kevin Grant, M.D
NPI 1730107368 · on the registry since 2006 · sole proprietor
Practice
- Address
- 13164 N. Town Ridge Rd
Boise, ID 83714 - Phone
- (916) 989-6400
- Fax
- (916) 635-8047
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-26
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 Idaho