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Organization
KEG SURGICAL ASSISTING, LLC
Active
Organization
KEG SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRRA GRIFFIS CST, CSFA (CST, CSFA)
(308) 379-6727
Entity
Organization
Contact information
Practice address
4905 W OLD POTASH HWY, GRAND ISLAND, NE 68803-9026
(308) 379-6727
Mailing address
4905 W OLD POTASH HWY, GRAND ISLAND, NE 68803-9026
(308) 379-6727
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
NULL
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
06/11/2023
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