KEVIN E GRANT

BOISE, ID
NPI1730107368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: ID  MV-0025)
Enumeration Date2006-07-18
Last Update Date2023-08-26
Business Address
Dr. KEVIN E GRANT M.D.
13164 N. TOWN RIDGE RD
BOISE, ID 83714
Phone number: 916-989-6400
Mailing Address
Dr. KEVIN E GRANT M.D.
1004 RIVER ROCK #131 #131
FOLSOM, CA 95630-2095
Phone number: 916-989-6400
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