Individual
KYLE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMSC, PA-C, MPH, ATC
Contact information
Practice address
2782 S OTSEGO AVE, GAYLORD, MI 49735-9404
(989) 732-7525
Mailing address
2782 S OTSEGO AVE, GAYLORD, MI 49735-9404
(899) 732-7525
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002598
VA
363A00000X
Physician Assistant
Primary
5601010798
MI
Other
Enumeration date
08/22/2016
Last updated
07/19/2025
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