DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN E GRANT, M.D.

Active Sole Proprietor

DR. KEVIN E GRANT, M.D. is a Pediatrics healthcare provider located in BOISE, Idaho. NPI 1730107368 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · BOISE, ID

Registration Details

NPI Number
1730107368
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2006 (20.083616244494 yrs)
Last Updated
Aug 26, 2023
License
MV-0025 (ID)
Sole Proprietor
Yes

Practice Information

Address
13164 N. TOWN RIDGE RD
BOISE, ID, 83714
Browse ID providers · Browse ZIP 83714
Phone
9169896400
Fax
9166358047
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in BOISE, ID

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.