Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYRSTANNE KAYE IDOM, PA
ActiveKYRSTANNE KAYE IDOM, PA is a Physician Assistant healthcare provider located in GRANTSVILLE, Utah. NPI 1659248953 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANTSVILLE, UT
Registration Details
- NPI Number
- 1659248953
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2025 (0.80337638905416 yrs)
- Last Updated
- Oct 21, 2025
Practice Information
- Address
-
228 S TAWNY DRGRANTSVILLE, UT, 840295028Browse UT providers · Browse ZIP 84029
- Phone
- 8015809139
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRANTSVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| ALEX WADE CHILDS | PA-C | 1447768718 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.