Individual
MCKENNA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 E RIVERSIDE DR STE 201, SAINT GEORGE, UT 84790-7277
(435) 216-7032
Mailing address
585 E RIVERSIDE DR STE 201, SAINT GEORGE, UT 84790-7277
(435) 216-7032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/01/2025
Last updated
09/02/2025
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