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1669859054
KENNETH SCOTT GRIFFIN
PROVO, UT
NPI
1669859054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: UT 11463472-1205)
Enumeration Date
2015-05-05
Last Update Date
2020-04-30
Business Address
KENNETH SCOTT GRIFFIN M.D.
395 W BULLDOG BLVD
PROVO, UT 84604-3311
Phone number: 801-357-7420
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Mailing Address
KENNETH SCOTT GRIFFIN M.D.
18415 N 46TH ST
PHOENIX, AZ 85032-1571
Phone number: 951-813-0039
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