Individual
KELSEY GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 259-1228
(928) 772-2582
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 259-1228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10295
AZ
363A00000X
Physician Assistant
PA0685
NV
363A00000X
Physician Assistant
Primary
PA3011
NV
Other
Enumeration date
11/01/2023
Last updated
02/10/2025
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