Individual
KENNETH SCOTT GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 W BULLDOG BLVD, PROVO, UT 84604-3311
(801) 357-7420
Mailing address
18415 N 46TH ST, PHOENIX, AZ 85032-1571
(951) 813-0039
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11463472-1205
UT
Other
Enumeration date
05/05/2015
Last updated
04/30/2020
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