Individual
KAYLEIGH NOELLE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 S 1000 E STE 225, PAYSON, UT 84651-5593
Mailing address
570 N 100 E, SPANISH FORK, UT 84660-1504
(760) 608-2868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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